Organization
ROSLYN PASS PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSLYN PASS PH.D. (PRESIDENT)
(305) 595-2600
Entity
Organization
Contact information
Practice address
9085 SW 87TH AVE, SUITE 201, MIAMI, FL 33176-2309
(305) 595-2077
Mailing address
9085 SW 87TH AVE, SUITE 201, MIAMI, FL 33176-2309
(305) 595-2077
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942220322
MEDICARE NPI
FL
01
—
74202
BC/BS
FL
Enumeration date
08/27/2007
Last updated
11/06/2007
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