Provider Demographics
NPI:1174504971
Name:ZABLE, ELIZABETH HELEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HELEN
Last Name:ZABLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16594 N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-1325
Mailing Address - Country:US
Mailing Address - Phone:813-933-1944
Mailing Address - Fax:813-933-4332
Practice Address - Street 1:16594 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-1325
Practice Address - Country:US
Practice Address - Phone:813-933-1944
Practice Address - Fax:813-933-4332
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79793207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL200508695OtherHUMANA
FL200508695OtherTRICARE
FL200508695OtherUNITED HEALTHCARE
FL8034269OtherCIGNA
FL200508695OtherPHCS
FL3389720OtherAETNA
FL200508695OtherBEECH STREET
FL200508695OtherUNIVERSAL HEALTH CARE
FL279710OtherAVMED
FL57997OtherBCBS OF FLORIDA
FL200508695OtherEVOLUTIONS
FL57997OtherBCBS OF FLORIDA
FL57997ZMedicare ID - Type UnspecifiedMEDICARE