Provider Demographics
NPI:1497430821
Name:ZABALA, NATALY
Entity Type:Individual
Prefix:
First Name:NATALY
Middle Name:
Last Name:ZABALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3166 ARMSTRONG SPRING DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-9286
Mailing Address - Country:US
Mailing Address - Phone:407-747-6664
Mailing Address - Fax:
Practice Address - Street 1:3166 ARMSTRONG SPRING DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-9286
Practice Address - Country:US
Practice Address - Phone:407-747-6664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL246ZB0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZB0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiochemist