Zabala, Alexandra
Zabala, Alexandra is an individual health care provider with primary practice located at 1454 Madison Ave W , Immokalee FL 34142-2200. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Zabala, Alexandra can be contacted via phone (239) 658-3000.Contact Information
Primary practice address
1454 Madison Ave W
Immokalee FL 34142-2200
Phone: (239) 658-3000
Fax: (239) 658-3091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 21560 | Florida |
Profile Details
| NPI number | 1972979219 |
|---|---|
| LBN Legal business name | Zabala, Alexandra |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2015 |
| Last updated | Mar 9th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972979219 | NPPES |
| Florida | MEDICAID | 015573600 |
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