Healthcare Provider Details

I. General information

NPI: 1295068526
Provider Name (Legal Business Name): ZUNZUN THERAPEUTIC CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2009
Last Update Date: 10/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13909 N DALE MABRY HWY SUITE 101
TAMPA FL
33618-2436
US

IV. Provider business mailing address

13909 N DALE MABRY HWY SUITE 101
TAMPA FL
33618-2436
US

V. Phone/Fax

Practice location:
  • Phone: 813-443-5726
  • Fax: 813-443-5727
Mailing address:
  • Phone: 813-443-5726
  • Fax: 813-443-5727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberMM29385
License Number StateFL

VIII. Authorized Official

Name: MS. MAYUMI MOREIRA
Title or Position: PRESIDENT
Credential: LMT
Phone: 813-443-5726