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 1:415 E MAIN ST STE 210
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-4703
Practice Address - Country:US
Practice Address - Phone:407-214-6790
Practice Address - Fax:407-641-9390
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9418770163WH0200X, 163WI0500X
171R00000X, 174H00000X, 171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No171R00000XOther Service ProvidersInterpreter
No174H00000XOther Service ProvidersHealth Educator