Healthcare Provider Details

I. General information

NPI: 1639387525
Provider Name (Legal Business Name): ROZALYN HESTER PASCHAL MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 10/23/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 NW 27TH AVE SUITE 50
MIAMI FL
33147-4902
US

IV. Provider business mailing address

PO BOX 370608
MIAMI FL
33137-0608
US

V. Phone/Fax

Practice location:
  • Phone: 305-758-0591
  • Fax: 305-836-5445
Mailing address:
  • Phone: 305-758-0591
  • Fax: 305-836-5445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME030785
License Number StateFL

VIII. Authorized Official

Name: DR. ROZALYN AGENORIA PASCHAL-THOMAS
Title or Position: OWNER
Credential: M.D.
Phone: 305-758-0591