Provider Demographics
NPI:1841393774
Name:ELIZABETH H. ZABLE, M.D., P.A.
Entity Type:Organization
Organization Name:ELIZABETH H. ZABLE, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZABLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-933-1944
Mailing Address - Street 1:16594 NORTH DALE MABRY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618
Mailing Address - Country:US
Mailing Address - Phone:813-933-1944
Mailing Address - Fax:813-933-4332
Practice Address - Street 1:16594 NORTH DALEE MABRY HIGHWAY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618
Practice Address - Country:US
Practice Address - Phone:813-933-1944
Practice Address - Fax:813-933-4332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA88088Medicare UPIN
FLK5093Medicare ID - Type Unspecified