Individual
EDEN ASEFAW GHEBRESILASIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
18260 NE 19TH AVE, SUITE 201, NORTH MIAMI BEACH, FL 33162-1632
(305) 956-9062
(305) 354-4524
Mailing address
2642 COLLINS AVE, APT 207, MIAMI BEACH, FL 33140
(305) 215-2929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3418
FL
Other
Enumeration date
11/08/2006
Last updated
06/06/2008
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