Provider Demographics
NPI:1154112043
Name:ABALLE HOYOS, ZENIS ANANKA
Entity type:Individual
Prefix:
First Name:ZENIS
Middle Name:ANANKA
Last Name:ABALLE HOYOS
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 1:18518 QUINCE RD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33967-6150
Mailing Address - Country:US
Mailing Address - Phone:239-255-3175
Mailing Address - Fax:
Practice Address - Street 1:18518 QUINCE RD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33967-6150
Practice Address - Country:US
Practice Address - Phone:239-255-3175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11039276363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner