Provider Demographics
NPI:1831765866
Name:KAFRUNI, NAYIBE ZULEIMA
Entity type:Individual
Prefix:
First Name:NAYIBE
Middle Name:ZULEIMA
Last Name:KAFRUNI
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 1:14912 SW 104TH ST APT 45
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3374
Mailing Address - Country:US
Mailing Address - Phone:786-768-4878
Mailing Address - Fax:
Practice Address - Street 1:14912 SW 104TH ST APT 45
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3374
Practice Address - Country:US
Practice Address - Phone:786-768-4878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA14885224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant