Dr Zambrana Primary Care Clinic Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DR ZAMBRANA PRIMARY CARE CLINIC INC

Practice address

11223 N Williams St Ste I
Dunnellon, FL 34432-8307

Phone

(352) 418-0802

Fax

(352) 418-0877

NPI assigned

May 26, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alexander Maldonado

Title

Manager

Phone

(352) 421-8498

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Zambrana Morales, M.D.

  • General Practice Physician
  • Dunnellon, FL
  • NPI 1235333915
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1013600048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 N WILLIAMS ST STE I",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344328307",
            "telephone_number": "352-421-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11223 N WILLIAMS ST STE I",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344328307",
            "telephone_number": "352-418-0802",
            "fax_number": "352-418-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ZAMBRANA PRIMARY CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-08-22",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-421-8498",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janiya Devaughn
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• Ulhas T Deven, M.D.
• Desmond L Diaz
• Reagan Dixon
• Dr. Linda Azwell OD LLC
• Marcel Dubois, APRN
• Kathleen Blake Dunn, OT
• Dunnellon Adult Day Care, LLC
• Dunnellon Center for Complete Dentistry PA (Dunnellon Center for Complete Dentistry)

• General Practice Physician in Dunnellon, FL
• Providers in Dunnellon, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.