Provider Demographics
NPI:1093866725
Name:ZEMBALA, SARA A (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:A
Last Name:ZEMBALA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:SARA
Other - Middle Name:ANN
Other - Last Name:ZEMBALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:11214 FIDDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-7008
Mailing Address - Country:US
Mailing Address - Phone:813-374-7041
Mailing Address - Fax:813-374-7041
Practice Address - Street 1:11115 E DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:C/O TAKE CARE HEALTH SYSTEM
Practice Address - City:SEFFNER
Practice Address - State:FL
Practice Address - Zip Code:33584-8378
Practice Address - Country:US
Practice Address - Phone:813-413-3081
Practice Address - Fax:813-413-3082
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1241072363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily