Individual
DR. MAYGEN L LAFATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7201 N UNIVERSITY DR, TAMARAC, FL 33321-2913
(954) 724-6540
Mailing address
1065 NE 125TH ST STE 300, NORTH MIAMI, FL 33161-5933
(888) 852-6672
(786) 235-6225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS20193
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
04/10/2024
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