Healthcare Provider Details

I. General information

NPI: 1568606168
Provider Name (Legal Business Name): AUJA LUVONNE MCDOUGALE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2009
Last Update Date: 09/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 BISCAYNE BLVD STE 230
MIAMI FL
33137-9800
US

IV. Provider business mailing address

PO BOX 28082
NEW YORK NY
10087-8082
US

V. Phone/Fax

Practice location:
  • Phone: 786-466-8490
  • Fax: 305-573-6562
Mailing address:
  • Phone: 212-987-3100
  • Fax: 212-987-1799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number277013
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: