Individual provider Active NPI

Zara Jannine Montufar

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1336730597
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11012982 Issued in FL
Practice address
60 W Gore St Ste 206
Orlando, FL 32806-1140
Phone
(321) 841-3303
Fax
(321) 841-3305
NPI assigned
Jan 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2020092643 FL
Pediatric Nurse Practitioner 363LP0200X APRN11012982 FL Primary

Addresses

Primary practice location

60 W Gore St Ste 206
Orlando, FL 32806-1140

Mailing address

60 W Gore St Ste 206
Orlando, FL 32806-1140
Phone (321) 841-3303

Other practice location 1

240 Crandon Blvd Ste 212
Key Biscayne, FL 33149-1597
Phone (305) 361-6232

Other practice location 2

435 21st street
Miami Beach, FL 33139
Phone (561) 929-2478

Other identifiers 1

IdentifierTypeStateIssuer
126830600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250519002186 FL Practitioner - Nurse Practitioner 1052839560 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians

Practice addresses (Care Compare)

5900 S John Young Pkwy
Orlando, FL 32839-3716
Phone (866) 550-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2020092643FLMDNurse Practitioner
APRN11012982FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

60 W Gore St
Ste 206
Orlando, FL 32806
Phone (321) 841-3303

60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Interoperability endpoints

  • Direct secure messaging: zmontufar@ragd-fl.direct.office.nextgen.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1336730597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W GORE ST STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061140",
            "telephone_number": "321-841-3303",
            "fax_number": "321-841-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W GORE ST STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061140",
            "telephone_number": "321-841-3303",
            "fax_number": "321-841-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Crandon Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Key Biscayne",
            "state": "FL",
            "postal_code": "331491597",
            "country_code": "US",
            "telephone_number": "305-361-6232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 21st street",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "33139",
            "country_code": "US",
            "telephone_number": "561-929-2478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTUFAR",
        "first_name": "ZARA",
        "middle_name": "JANNINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2020092643",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11012982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126830600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.