Individual
NICOLE MARIE ZISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-5155
Mailing address
182 MOSAIC PARK AVE, SAINT AUGUSTINE, FL 32092-7664
(631) 402-2431
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
APRN11009226
FL
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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