Provider Demographics
NPI:1457845224
Name:ZAMORA, ANA MERCEDES
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:MERCEDES
Last Name:ZAMORA
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 1:503 E CLEVELAND LN
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-6631
Mailing Address - Country:US
Mailing Address - Phone:786-991-6256
Mailing Address - Fax:
Practice Address - Street 1:503 E CLEVELAND LN
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6631
Practice Address - Country:US
Practice Address - Phone:786-991-6256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty