Healthcare Provider Details

I. General information

NPI: 1508640806
Provider Name (Legal Business Name): LAUREN FLORIAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 NW 82ND AVE STE 201
DORAL FL
33166-6662
US

IV. Provider business mailing address

632 NW 134TH AVE
MIAMI FL
33182-1669
US

V. Phone/Fax

Practice location:
  • Phone: 305-537-7272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9117747
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: