Healthcare Provider Details

I. General information

NPI: 1013206929
Provider Name (Legal Business Name): DOROTHY JUSTINE CONTIGUGLIA-AKCAN M.D./M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DOROTHY JUSTINE CONTIGUGLIA M.D./M.P.H.

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 08/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 SW 62ND AVE
SOUTH MIAMI FL
33143-3300
US

IV. Provider business mailing address

6601 SW 62ND AVE
SOUTH MIAMI FL
33143-3300
US

V. Phone/Fax

Practice location:
  • Phone: 786-466-6900
  • Fax: 786-466-6920
Mailing address:
  • Phone: 786-466-6900
  • Fax: 786-466-6920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME121050
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: