MEDICARE: ALYSSA NICOLE ZUNIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1316714355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA NICOLE ZUNIC

Provider Business Mailing Address
First Line	:	3212 CHESTNUT CT
Second Line	:
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-4563
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 UNIVERSITY BLVD W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217-2147
Country	:	US
Telephone Number	:	904-345-6780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	12/11/2023

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Directions to “ ALYSSA NICOLE ZUNIC ” Practice Location

Language	Start Address	Practice Location

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