Provider Demographics
NPI:1417179482
Name:ZUBER, DAVID H (MA)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:H
Last Name:ZUBER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 90881
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33804-0881
Mailing Address - Country:US
Mailing Address - Phone:863-687-6099
Mailing Address - Fax:863-858-1495
Practice Address - Street 1:4415 FLORIDA NATIONAL DRIVE
Practice Address - Street 2:114
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813
Practice Address - Country:US
Practice Address - Phone:863-687-6099
Practice Address - Fax:863-858-1495
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0001417106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist