Healthcare Provider Details

I. General information

NPI: 1407834054
Provider Name (Legal Business Name): PAMELA LYNN GARJIAN MDPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 02/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6910 SW 88TH ST 1ST FLOOR
MIAMI FL
33156-1551
US

IV. Provider business mailing address

6910 SW 88TH ST 1ST FLOOR
MIAMI FL
33156-1551
US

V. Phone/Fax

Practice location:
  • Phone: 305-669-1115
  • Fax: 305-669-0787
Mailing address:
  • Phone: 305-669-1115
  • Fax: 305-669-0787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAMELA LYNN GARJIAN
Title or Position: PRESIDENT
Credential: MD
Phone: 305-669-1115