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Provider Information for 1124752167


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ALEXIA DEE ZADOK LCSW


Sex: Female

NPI: 1124752167
Last Updated: 2022-07-14
Certification Date: 2022-07-14

Details

NameValue
NPI1124752167
Enumeration Date2022-07-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2945 FLAMINGO DR
MIAMI BEACH, FL 33140-3916
United States

Phone: 305-851-1631 | Fax:
 
Primary Practice Address 2945 FLAMINGO DR
MIAMI BEACH, FL 33140-3916
United States

Phone: 305-851-1631 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
1041C0700X - Social Worker - Clinical
FLSW20028