Healthcare Provider Details

I. General information

NPI: 1326287160
Provider Name (Legal Business Name): CHARLOTTE NICOLE PAZ-PABON M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2009
Last Update Date: 04/15/2020
Certification Date: 04/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 SW 62ND PLACE 3RD FLOOR
MIAMI FL
33143
US

IV. Provider business mailing address

7300 SW 62ND PLACE 3RD FLOOR
MIAMI FL
33143
US

V. Phone/Fax

Practice location:
  • Phone: 305-665-1133
  • Fax: 305-666-0258
Mailing address:
  • Phone: 305-665-1133
  • Fax: 305-666-0258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMT193338
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME113271
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberME113271
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: