Provider Demographics
NPI:1154655264
Name:GASCON, ZUZEL (NP)
Entity type:Individual
Prefix:
First Name:ZUZEL
Middle Name:
Last Name:GASCON
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:ZUZEL
Other - Middle Name:
Other - Last Name:MARTIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:241 NW 119TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-1329
Mailing Address - Country:US
Mailing Address - Phone:786-346-3629
Mailing Address - Fax:352-443-5753
Practice Address - Street 1:9290 SW 72ND ST STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3236
Practice Address - Country:US
Practice Address - Phone:305-707-5653
Practice Address - Fax:352-443-5753
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9264774363LA2200X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty