Provider Demographics
NPI:1598364408
Name:ZWAIG, NINA (MA 91474)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:ZWAIG
Suffix:
Gender:F
Credentials:MA 91474
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5648 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6229
Mailing Address - Country:US
Mailing Address - Phone:184-744-5516
Mailing Address - Fax:
Practice Address - Street 1:5648 FILLMORE ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6229
Practice Address - Country:US
Practice Address - Phone:847-445-5167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA91474225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist