Organization
CHILDREN'S SKIN CENTER PA
Active
Other names
GABLES SKIN CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANA L ZAUN (PRACTICE ADMINISTRATOR)
(305) 668-5518
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 668-5518
(305) 668-5579
Mailing address
PO BOX 144341, CORAL GABLES, FL 33114-4341
(305) 668-5518
(305) 668-5579
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
ME56604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261982200
—
FL
Enumeration date
06/28/2006
Last updated
12/04/2014
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