Healthcare Provider Details
I. General information
NPI: 1497913131
Provider Name (Legal Business Name): SCARLET CONSTANT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/29/2008
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7700 N KENDALL DR STE 710
MIAMI FL
33156-7591
US
IV. Provider business mailing address
7700 N KENDALL DR STE 710
MIAMI FL
33156-7591
US
V. Phone/Fax
- Phone: 305-677-0300
- Fax: 305-677-0284
- Phone: 305-677-0300
- Fax: 305-677-0284
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | ME109773 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: