Provider Demographics
NPI:1891029583
Name:ZEDAN,CNM, MARIA CLAUDIA (CNM)
Entity Type:Individual
Prefix:
First Name:MARIA CLAUDIA
Middle Name:
Last Name:ZEDAN,CNM
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6758
Mailing Address - Country:US
Mailing Address - Phone:954-961-8303
Mailing Address - Fax:954-961-8307
Practice Address - Street 1:3801 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6758
Practice Address - Country:US
Practice Address - Phone:954-961-8303
Practice Address - Fax:954-961-8307
Is Sole Proprietor?:No
Enumeration Date:2009-09-28
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2064402176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002059600Medicaid