Healthcare Provider Details
I. General information
NPI: 1841393774
Provider Name (Legal Business Name): ELIZABETH H. ZABLE, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2006
Last Update Date: 02/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16594 NORTH DALEE MABRY HIGHWAY
TAMPA FL
33618
US
IV. Provider business mailing address
16594 NORTH DALE MABRY
TAMPA FL
33618
US
V. Phone/Fax
- Phone: 813-933-1944
- Fax: 813-933-4332
- Phone: 813-933-1944
- Fax: 813-933-4332
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302F00000X |
| Taxonomy | Exclusive Provider Organization |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
H
ZABLE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 813-933-1944