Healthcare Provider Details
I. General information
NPI: 1508573593
Provider Name (Legal Business Name): CLAUDIA ZUNIGA SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/31/2022
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3278 CANOE CREEK RD
SAINT CLOUD FL
34772-9115
US
IV. Provider business mailing address
3278 CANOE CREEK RD
SAINT CLOUD FL
34772-9115
US
V. Phone/Fax
- Phone: 321-837-9737
- Fax:
- Phone: 321-837-9737
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2355S0801X |
| Taxonomy | Speech-Language Assistant |
| License Number | SI2586 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: