Provider Demographics
NPI:1881801520
Name:ZABLE, MARIAN (PA)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:ZABLE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8776 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3131
Mailing Address - Country:US
Mailing Address - Phone:941-256-8886
Mailing Address - Fax:941-256-8885
Practice Address - Street 1:8776 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-3131
Practice Address - Country:US
Practice Address - Phone:941-256-8886
Practice Address - Fax:941-256-8885
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA1568363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPA1568OtherPHYSICIAN ASSISTANT NUMBE