# EAST COAST PATHOLOGY ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134193634
- **Authorized official:** SUSAN BAKER M.D. (DIRECTOR)
- **Authorized official phone:** (305) 835-4725

## Contact information

- **Practice address:** 1100 NW 95TH ST, MIAMI, FL 33150-2038
- **Practice address phone:** (305) 835-4725
- **Mailing address:** PO BOX 5040, HIALEAH, FL 33014-1040
- **Mailing address phone:** (305) 503-6320
- **Mailing address fax:** (305) 503-6329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | ME46836 | FL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | ME46836 | FL | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | ME46836 | FL | — |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 10/21/2010