Provider Demographics
NPI:1033466925
Name:ZAMBRANO, AURA (OD)
Entity Type:Individual
Prefix:
First Name:AURA
Middle Name:
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11735 SW 147TH AVE UNIT 16
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3330
Mailing Address - Country:US
Mailing Address - Phone:786-953-8200
Mailing Address - Fax:786-953-8647
Practice Address - Street 1:11735 SW 147TH AVE UNIT 16
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3330
Practice Address - Country:US
Practice Address - Phone:786-953-8200
Practice Address - Fax:786-953-8647
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist