Provider Demographics
NPI:1497332340
Name:ZAMBRANO, LIZBETH LEONOR (DO, MS)
Entity Type:Individual
Prefix:
First Name:LIZBETH
Middle Name:LEONOR
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:DO, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1431 SW 1ST AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6500
Mailing Address - Country:US
Mailing Address - Phone:352-401-8319
Mailing Address - Fax:352-401-8313
Practice Address - Street 1:1431 SW 1ST AVE STE 7
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6500
Practice Address - Country:US
Practice Address - Phone:352-401-8319
Practice Address - Fax:352-401-8313
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FL0S19185207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program