Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mia Roberta Zullo

Individual provider Athletic Trainer · NPI 1699393231

Mia Roberta Zullo is an Athletic Trainer in Fort Lauderdale, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

1208 Avocado Isle
Fort Lauderdale, FL 33315-1342
Phone: (954) 770-4305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1699393231
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2020
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address1208 Avocado Isle, Fort Lauderdale, FL 33315-1342

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