Healthcare Provider Details

I. General information

NPI: 1265363477
Provider Name (Legal Business Name): CEAPS MIAMI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3661 S MIAMI AVE STE 1003
MIAMI FL
33133-4214
US

IV. Provider business mailing address

6801 WHITTIER AVE STE 301
MC LEAN VA
22101-4549
US

V. Phone/Fax

Practice location:
  • Phone: 786-882-9966
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: GABY N MOAWAD
Title or Position: OWNER
Credential:
Phone: 703-505-0444