Healthcare Provider Details

I. General information

NPI: 1740976802
Provider Name (Legal Business Name): ZULEIMA PATIARROY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 13TH ST FL 34769
SAINT CLOUD FL
34769-4119
US

IV. Provider business mailing address

2521 13TH ST FL 34769
SAINT CLOUD FL
34769-4119
US

V. Phone/Fax

Practice location:
  • Phone: 407-900-4885
  • Fax:
Mailing address:
  • Phone: 407-900-4885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: