Individual provider Active NPI

Diana Zubowicz

  • Speech-Language Pathologist
  • Coral Springs, FL
National Provider Identifier
1073864187
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ5955 Issued in FL
Practice address
576 Riverside Dr
Coral Springs, FL 33071-7049
Phone
(954) 341-0090
Fax
(888) 577-1487
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ5955 FL Primary

Addresses

Primary practice location

576 Riverside Dr
Coral Springs, FL 33071-7049

Mailing address

936 Intracoastal Dr
Apt 17C
Ft Lauderdale, FL 33304-3640
Phone (917) 833-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SZ5955FLMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1073864187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 INTRACOASTAL DR",
            "address_2": "APT 17C",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043640",
            "telephone_number": "917-833-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 RIVERSIDE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717049",
            "telephone_number": "954-341-0090",
            "fax_number": "888-577-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBOWICZ",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.