MEDICARE: MRS. FLORA PAZOS MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	007376700	FL
2	101YM0800X	Mental Health Counselor	005916600	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902196389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FLORA PAZOS MS

Provider Business Mailing Address
First Line	:	705 EAST 8 AVE
Second Line	:	SUITE102
City	:	HIALEAH
State	:	FL
Zip	:	33010
Country	:	US
Telephone Number	:	305-603-9751
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 E 8TH AVE
Second Line	:	SUITE102
City	:	HIALEAH
State	:	FL
Zip	:	33010-4613
Country	:	US
Telephone Number	:	305-603-9751
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2011
Last Update Date	:	06/21/2017

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Directions to “ MRS. FLORA PAZOS MS” Practice Location

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