1982521571 NPI number — ELIZABET GUMRAL ZOELLER MS, RDN, CNSC

Table of content: ELIZABET GUMRAL ZOELLER MS, RDN, CNSC (NPI 1982521571)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982521571 NPI number — ELIZABET GUMRAL ZOELLER MS, RDN, CNSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZOELLER
Provider First Name:
ELIZABET
Provider Middle Name:
GUMRAL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, RDN, CNSC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZOELLER
Provider Other First Name:
ELIZA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, RDN, CNSC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1982521571
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/02/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1050 S RONALD REAGAN BLVD UNIT 445
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONGWOOD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32750-6477
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1050 S RONALD REAGAN BLVD UNIT 445
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONGWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32750-6477
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-693-7045
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/02/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  13328 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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