Healthcare Provider Details

I. General information

NPI: 1184410458
Provider Name (Legal Business Name): LAUREN K RANGEL MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 SW 74TH CT STE 2001
MIAMI FL
33156-3179
US

IV. Provider business mailing address

777 E 25TH ST STE 118
HIALEAH FL
33013-3804
US

V. Phone/Fax

Practice location:
  • Phone: 305-367-8442
  • Fax: 305-367-8442
Mailing address:
  • Phone: 305-915-5807
  • Fax: 305-367-8442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: LAUREN K RANGEL
Title or Position: OWNER
Credential: MD
Phone: 305-915-5807