Provider Demographics
NPI:1952875106
Name:PAZ NUNEZ, ORFANI (MD)
Entity Type:Individual
Prefix:
First Name:ORFANI
Middle Name:
Last Name:PAZ NUNEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 NE 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1375
Mailing Address - Country:US
Mailing Address - Phone:239-603-3631
Mailing Address - Fax:
Practice Address - Street 1:3444 MARINATOWN LN STE 1
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-7008
Practice Address - Country:US
Practice Address - Phone:239-603-3852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-21
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-23-65707103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty