Organization · NPI-2

Zotheka INC.

Clinic/Center · Ruskin, FL

NPI number1407398324
StatusActive
Last updated in NPPESMay 9, 2025

Details

NPI
1407398324
Entity type
Organization (NPI-2)
Legal business name
Zotheka INC.
Organization subpart
No
Enumeration date
Nov 9, 2016
Certification date
May 9, 2025
Last updated
May 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
252Y00000X Early Intervention Provider Agency––

Practice location

2038 Hawks View Dr
Ruskin, FL 33570-8011

Phone 813-421-2602

Mailing address

2038 Hawks View Dr
Ruskin, FL 33570-8011

Phone 813-421-2602 · Fax 239-303-7117

Authorized official

Marchelle Rachel
Owner
7542345319

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