Provider Demographics
NPI:1841916418
Name:DUANY, ZORAIDA
Entity type:Individual
Prefix:
First Name:ZORAIDA
Middle Name:
Last Name:DUANY
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 1:380 SEMORAN COMMERCE PL STE B202
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-4684
Mailing Address - Country:US
Mailing Address - Phone:973-652-4850
Mailing Address - Fax:
Practice Address - Street 1:380 SEMORAN COMMERCE PL STE B202
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4684
Practice Address - Country:US
Practice Address - Phone:973-652-4850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH22562101YM0800X
FL22-239324106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health