Healthcare Provider Details

I. General information

NPI: 1255477170
Provider Name (Legal Business Name): SYLVIA MARIA MCQUEEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 NW 107TH AVE
DORAL FL
33178-9800
US

IV. Provider business mailing address

10710 NW 66TH ST APT 308
DORAL FL
33178-4553
US

V. Phone/Fax

Practice location:
  • Phone: 786-263-6065
  • Fax:
Mailing address:
  • Phone: 615-519-3280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number127861
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: