Organization
EAST COAST PATHOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BAKER M.D. (DIRECTOR)
(305) 835-4725
Entity
Organization
Contact information
Practice address
1100 NW 95TH ST, MIAMI, FL 33150-2038
(305) 835-4725
Mailing address
PO BOX 5040, HIALEAH, FL 33014-1040
(305) 503-6320
(305) 503-6329
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME46836
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME46836
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
ME46836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268432200
—
FL
Enumeration date
02/14/2006
Last updated
10/21/2010
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