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Individual

ANAYS LAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12550 BISCAYNE BLVD STE 226, NORTH MIAMI, FL 33181-2501
(305) 945-2411
(305) 945-2412
Mailing address
8401 SW 107TH AVE APT 122E, MIAMI, FL 33173-4334
(305) 778-9621

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113134
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA13161
TEXAS PHYSICIAN ASSISTANT BOARD
TX
01
PA9113134
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
11/07/2019
Last updated
10/27/2021
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