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NPI Code Detail

MEDICARE: DR. PAMELA LYNN GARJIAN MD

MEDICARE:  DR. PAMELA LYNN GARJIAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianME56711FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109707OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1619952645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA LYNN GARJIAN MD
Provider Business Mailing Address
First Line : 6910 SW 88TH ST
Second Line : 1ST FLOOR
City : MIAMI
State : FL
Zip : 33156-1551
Country : US
Telephone Number : 305-669-1115
Fax Number : 305-669-0787
Provider Business Practice Location Address
First Line : 8950 N KENDALL DR STE 306W
Second Line :
City : MIAMI
State : FL
Zip : 33176-2131
Country : US
Telephone Number : 305-596-9966
Fax Number : 305-595-0282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 10/04/2018

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