Organization
PATHOLOGY ASSOCIATES OF SOUTH MIAMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GOERSS MD (DIRECTOR)
(786) 662-8168
Entity
Organization
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 662-4000
Mailing address
PO BOX 198523, ATLANTA, GA 30384-8523
(305) 503-6320
(305) 503-6329
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME38171
FL
207ZP0101X
Anatomic Pathology Physician
ME38171
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME38171
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
ME38171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056401000
—
FL
Enumeration date
01/15/2007
Last updated
09/30/2021
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