Provider Demographics
NPI:1407309735
Name:ARIAS, ZOILA (COTA)
Entity Type:Individual
Prefix:
First Name:ZOILA
Middle Name:
Last Name:ARIAS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1446 E MOWRY DR APT 203
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-4973
Mailing Address - Country:US
Mailing Address - Phone:305-229-4264
Mailing Address - Fax:
Practice Address - Street 1:1446 E MOWRY DR APT 203
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-4973
Practice Address - Country:US
Practice Address - Phone:305-229-4264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-03
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA 15362171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor