Healthcare Provider Details

I. General information

NPI: 1972828887
Provider Name (Legal Business Name): PAMELA SHEPPARD STRACHAN LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 04/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 NW 51ST TER
MIAMI FL
33142-3821
US

IV. Provider business mailing address

1495 NW 51ST TER
MIAMI FL
33142-3821
US

V. Phone/Fax

Practice location:
  • Phone: 786-222-3331
  • Fax: 305-620-7537
Mailing address:
  • Phone: 786-222-3331
  • Fax: 305-620-7537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW237
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: