MEDICARE: MARTHA LIGIA ZAMBRANO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME92845	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952308314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA LIGIA ZAMBRANO M.D.

Provider Business Mailing Address
First Line	:	901 VILLAGE BLVD
Second Line	:	STE 702
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1947
Country	:	US
Telephone Number	:	561-882-6214
Fax Number	:	561-882-6216

Provider Business Practice Location Address
First Line	:	901 VILLAGE BLVD
Second Line	:	STE 702
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1947
Country	:	US
Telephone Number	:	561-882-6214
Fax Number	:	561-882-6216

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	01/24/2019

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