Individual
CORAL OLAZAGASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5302
(305) 243-4975
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5302
(305) 243-4975
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME152831
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
10/29/2021
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