Individual
BONNIE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6628
(305) 899-3000
Mailing address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119976
FL
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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