Healthcare Provider Details

I. General information

NPI: 1851625081
Provider Name (Legal Business Name): ZAMBELLI MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2009
Last Update Date: 05/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 S ORANGE AVE STE 1B
ORLANDO FL
32806-2145
US

IV. Provider business mailing address

720 COMMERCE CENTER DR STE C
SEBASTIAN FL
32958-3122
US

V. Phone/Fax

Practice location:
  • Phone: 407-999-9977
  • Fax:
Mailing address:
  • Phone: 908-653-9399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: TIM MCNAMEE
Title or Position: CEO
Credential:
Phone: 772-559-1256