Provider Demographics
NPI:1194837708
Name:ZACHARIAH, SALLY B (MD)
Entity Type:Individual
Prefix:DR
First Name:SALLY
Middle Name:B
Last Name:ZACHARIAH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3911 SNAPPER POINTE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-1030
Mailing Address - Country:US
Mailing Address - Phone:727-398-6661
Mailing Address - Fax:727-398-9554
Practice Address - Street 1:10000 BAY PINES BLVD,NEUROLOGY SECTION
Practice Address - Street 2:VAMEDICAL CENTER,BAY PINES
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33744
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:727-398-9554
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FL00477002084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology