Individual
DR. MARIO D ZAMBRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 BAPTIST WAY, HOMESTEAD, FL 33033-7600
(786) 243-8587
Mailing address
975 BAPTIST WAY, HOMESTEAD, FL 33033-7600
(786) 243-8587
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME68860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035738
NHP
FL
01
—
214763
AVMED
FL
01
—
27742
BCBS
FL
01
—
378700100
EMI NETPASS PSN
FL
05
—
378700100
—
FL
01
—
4570734
GHI
FL
01
—
6328638
CIGNA
FL
Enumeration date
05/08/2006
Last updated
06/03/2022
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