Provider Demographics
NPI:1336931765
Name:GIL MALDONADO, ZENAIDA S (NA)
Entity type:Individual
Prefix:
First Name:ZENAIDA
Middle Name:S
Last Name:GIL MALDONADO
Suffix:
Gender:F
Credentials:NA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 163
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33859-0163
Mailing Address - Country:US
Mailing Address - Phone:407-214-6790
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 163
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33859-0163
Practice Address - Country:US
Practice Address - Phone:407-214-6790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9418770163WH0200X, 163WI0500X
174H00000X, 171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No174H00000XOther Service ProvidersHealth Educator