Individual
MS. SHANNA KOWALSKY-HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3200 SW 60TH CT STE 206, MIAMI, FL 33155-4070
(305) 666-6511
Mailing address
3200 SW 60TH CT STE 206, MIAMI, FL 33155-4070
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
256794
NY
208000000X
Pediatrics Physician
UO1619
FL
2080P0208X
Pediatric Infectious Diseases Physician
256794
NY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
OS17443
FL
Other
Enumeration date
03/02/2010
Last updated
07/27/2022
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