Provider Demographics
NPI:1992996862
Name:VAYANI, ZOHRA (LMT)
Entity type:Individual
Prefix:
First Name:ZOHRA
Middle Name:
Last Name:VAYANI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 LAKE POINTE DR.
Mailing Address - Street 2:102
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309
Mailing Address - Country:US
Mailing Address - Phone:954-815-3871
Mailing Address - Fax:954-731-9467
Practice Address - Street 1:212 LAKE POINTE DR
Practice Address - Street 2:102
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-3543
Practice Address - Country:US
Practice Address - Phone:954-815-3871
Practice Address - Fax:954-731-9467
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA48310225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist