Provider Demographics
NPI:1710365556
Name:ZAS, CAROLINA DANIELLE
Entity Type:Individual
Prefix:
First Name:CAROLINA
Middle Name:DANIELLE
Last Name:ZAS
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 1:3409 W BARCELONA ST
Mailing Address - Street 2:#A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-7007
Mailing Address - Country:US
Mailing Address - Phone:305-322-0617
Mailing Address - Fax:
Practice Address - Street 1:5807 ARGERIAN DR
Practice Address - Street 2:STE.101
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-4151
Practice Address - Country:US
Practice Address - Phone:813-973-9068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI26902355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant