Provider Demographics
NPI:1215227681
Name:CARDENAS, ZOILA
Entity Type:Individual
Prefix:
First Name:ZOILA
Middle Name:
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 NW 79TH AVE STE 537
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6577
Mailing Address - Country:US
Mailing Address - Phone:305-994-7399
Mailing Address - Fax:305-994-7397
Practice Address - Street 1:3900 NW 79TH AVE STE 537
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6577
Practice Address - Country:US
Practice Address - Phone:305-994-7399
Practice Address - Fax:305-994-7397
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA37599261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy