Provider Demographics
NPI:1154667491
Name:BURGOS RIBOT, ZAHYDIE LORELL (PSY D)
Entity Type:Individual
Prefix:DR
First Name:ZAHYDIE
Middle Name:LORELL
Last Name:BURGOS RIBOT
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 TURKEY LAKE RD STE 211
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-4206
Mailing Address - Country:US
Mailing Address - Phone:407-370-2588
Mailing Address - Fax:407-370-2346
Practice Address - Street 1:6000 TURKEY LAKE RD STE 211
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-4206
Practice Address - Country:US
Practice Address - Phone:407-370-2588
Practice Address - Fax:407-370-2346
Is Sole Proprietor?:No
Enumeration Date:2012-12-13
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLPY9081103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health