Individual
MRS. TANYA MARIE PATRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5901 SW 74TH ST STE 302, MIAMI, FL 33143-5163
(305) 390-8440
Mailing address
5901 SW 74TH ST STE 302, MIAMI, FL 33143-5163
(305) 390-8440
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
PA9105866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194021345
—
FL
Enumeration date
02/07/2011
Last updated
01/04/2022
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