Healthcare Provider Details

I. General information

NPI: 1083037741
Provider Name (Legal Business Name): ZAMAIYAJIRA MENDEZ GUERRERO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ZAMAIYAJIRA MENDEZ CRNA

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 SUN N LAKE BLVD
SEBRING FL
33872-1986
US

IV. Provider business mailing address

2995 DREW ST
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 863-402-3133
  • Fax:
Mailing address:
  • Phone: 727-281-9065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN9375827
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: