Provider Demographics
NPI:1679601892
Name:ZAMBRANA, NOREEN MARIE (MD)
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:MARIE
Last Name:ZAMBRANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21550 BISCAYNE BLVD SUITE 133
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-792-0555
Mailing Address - Fax:305-792-0557
Practice Address - Street 1:1806 N FLAMINGO RD.
Practice Address - Street 2:SUITE 440
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028
Practice Address - Country:US
Practice Address - Phone:954-620-0029
Practice Address - Fax:954-620-0047
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86754207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
U1544Medicare ID - Type Unspecified
FLH95851Medicare UPIN