Healthcare Provider Details

I. General information

NPI: 1710905468
Provider Name (Legal Business Name): MARIANNA SZABO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIANNA SZABARI

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 04/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3495 HACKS CROSS RD
MEMPHIS TN
38125-8803
US

IV. Provider business mailing address

9700 N WILLOW AVE
TAMPA FL
33612-7762
US

V. Phone/Fax

Practice location:
  • Phone: 901-526-7444
  • Fax:
Mailing address:
  • Phone: 813-924-3798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberME84902
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: