Healthcare Provider Details

I. General information

NPI: 1154730109
Provider Name (Legal Business Name): VERONICA MARGARITA ZOGHBI PARRAGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VERONICA M. ZOGHBI MD

II. Dates (important events)

Enumeration Date: 08/04/2014
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE # C300
MIAMI FL
33136-1005
US

IV. Provider business mailing address

1611 NW 12TH AVE # C300
MIAMI FL
33136-1005
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-7037
  • Fax:
Mailing address:
  • Phone: 305-585-7037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberME165985
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME165985
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: