Individual
MISS GERARDA TAMARA LASCAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C MMS
Contact information
Practice address
9730 NE 2ND AVE, MIAMI SHORES, FL 33138-2311
(305) 758-7979
(305) 758-0034
Mailing address
1425 NE 137TH ST, NORTH MIAMI, FL 33161-3513
(786) 406-4486
(305) 758-7979
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
PA 9107294
FL
Other
Enumeration date
09/12/2013
Last updated
09/17/2013
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