Basic Information
Provider Information
NPI: 1588029821
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZIZZO-HILL
FirstName: SARAH
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1065 NE 125TH ST STE 300
Address2:  
City: NORTH MIAMI
State: FL
PostalCode: 331615833
CountryCode: US
TelephoneNumber: 8888526672
FaxNumber: 3058914228
Practice Location
Address1: 10301 HAGEN RANCH RD STE B6
Address2:  
City: BOYNTON BEACH
State: FL
PostalCode: 334373723
CountryCode: US
TelephoneNumber: 5617529490
FaxNumber: 5617529491
Other Information
ProviderEnumerationDate: 12/30/2015
LastUpdateDate: 07/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAPRN9281962FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health
363LF0000XARNP9281962FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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