Provider Demographics
NPI:1790831642
Name:ZALAZNICK, HILLARY (MD)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:
Last Name:ZALAZNICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HILLARY
Other - Middle Name:
Other - Last Name:KIMBRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 742515
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2515
Mailing Address - Country:US
Mailing Address - Phone:941-483-7157
Mailing Address - Fax:
Practice Address - Street 1:540 THE RIALTO
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-2900
Practice Address - Country:US
Practice Address - Phone:941-483-7157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA204458207ZP0101X, 207ZP0102X
FLME111139207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2145533Medicaid
LA2145533Medicaid