Individual
DR. LAURA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136
(305) 469-3157
Mailing address
719 SW 10TH ST, HALLANDALE BEACH, FL 33009-6946
(305) 469-3157
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME116716
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME116716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009690400
—
FL
Enumeration date
08/25/2010
Last updated
02/26/2025
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