Provider Demographics
NPI:1649878661
Name:REID, ZAKILA SHAKRIA (NURSE'S AIDE)
Entity type:Individual
Prefix:
First Name:ZAKILA
Middle Name:SHAKRIA
Last Name:REID
Suffix:
Gender:F
Credentials:NURSE'S AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 54TH DR E UNIT 204
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-8432
Mailing Address - Country:US
Mailing Address - Phone:941-243-9717
Mailing Address - Fax:
Practice Address - Street 1:2915 54TH DR E UNIT 204
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-8432
Practice Address - Country:US
Practice Address - Phone:941-243-9717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-12
Last Update Date:2021-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL409498376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide