Provider Demographics
NPI:1396200986
Name:ROUZANI GERMOSO, ZOHRA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ZOHRA
Middle Name:
Last Name:ROUZANI GERMOSO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11531 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-2238
Mailing Address - Country:US
Mailing Address - Phone:813-999-4963
Mailing Address - Fax:
Practice Address - Street 1:11531 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-2238
Practice Address - Country:US
Practice Address - Phone:813-999-4963
Practice Address - Fax:813-999-4964
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000959207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine