Provider Demographics
NPI:1235333915
Name:ZAMBRANA MORALES, LAURA (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ZAMBRANA MORALES
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 1:11223 N WILLIAMS ST STE I
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34432-8307
Mailing Address - Country:US
Mailing Address - Phone:352-421-8498
Mailing Address - Fax:
Practice Address - Street 1:11223 N WILLIAMS ST STE I
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34432-8307
Practice Address - Country:US
Practice Address - Phone:352-421-8498
Practice Address - Fax:352-418-0877
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN420208D00000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice