Individual provider · Type 1 NPI

Mia Roberta Zullo

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1699393231 Active

Practice location

1208 Avocado Isle
Fort Lauderdale, FL 33315-1342

Call (954) 770-4305 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699393231

Mia Roberta Zullo's National Provider Identifier is 1699393231, issued on Jul 9, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 9, 2020.