1902196389 NPI number — MRS. FLORA PAZOS MS

Table of content: MRS. FLORA PAZOS MS (NPI 1902196389)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902196389 NPI number — MRS. FLORA PAZOS MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAZOS
Provider First Name:
FLORA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902196389
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/26/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
705 EAST 8 AVE
Provider Second Line Business Mailing Address:
SUITE102
Provider Business Mailing Address City Name:
HIALEAH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-603-9751
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8130 SW 34 STREET MIAMI FL 33155
Provider Second Line Business Practice Location Address:
760 NW 107 TH AVE.SUITE 110
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-409-3800
Provider Business Practice Location Address Fax Number:
786-310-7150
Provider Enumeration Date:
04/19/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  005916600 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 004053300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 007377900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004053300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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