Provider Demographics
NPI:1730962259
Name:VEGA ARMAS, ZURIZADAY
Entity type:Individual
Prefix:
First Name:ZURIZADAY
Middle Name:
Last Name:VEGA ARMAS
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 1:670 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2828
Mailing Address - Country:US
Mailing Address - Phone:305-609-7038
Mailing Address - Fax:
Practice Address - Street 1:401 E LAS OLAS BLVD STE 130-407
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2210
Practice Address - Country:US
Practice Address - Phone:305-609-7038
Practice Address - Fax:855-975-2395
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11027994363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner