ELZA VASCONCELLOS


Address: 3850 Bird Rd Ste 701, Miami, FL 33146-1507
Phone: 3056713654

ELZA VASCONCELLOS (NPI# 1427143619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427143619
Entity Type Individual
Full Name ELZA VASCONCELLOS
Credential MD
Practice Address 3850 Bird Rd Ste 701
Miami
FL 33146-1507
Mailing Address 3850 Bird Road Ste 701
Miami
FL 33146-1148
Practice Telephone 3056713654
Practice Fax Number 3054593242
Mailing Telephone 3056713654
Mailing Fax Number 3054593242
Enumeration Date 2006-10-04
Last Update Date 2012-12-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
ME77405 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 070259500 05

Office Location

Street Address 3850 BIRD RD STE 701
City MIAMI
State FL
Zip Code 33146-1507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811493786 Lauren Jennifer Cagen Nurse Practitioner 3850 Bird Rd Ste 701, Miami, FL 33146 2018-04-01
1962756650 Wemind Institute P.a Clinic/Center 3850 Bird Rd Ste 701, Miami, FL 33146-1507 2012-11-01
1548572506 Daneb Gonzalez Nurse Practitioner 3850 Bird Rd Ste 701, Miami, FL 33146-1507 2010-07-07

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1396222436 Julienne Cave Nurse Practitioner 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 2018-07-22
1891245379 Michelle Marie Penaranda Nurse Practitioner 1299 Theo Dickinson Dr, Coral Gables, FL 33146 2016-10-10
1629526116 Joanna Vidal Developmental Therapist 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 2016-09-14
1801265970 Borinquen Health Care Center Inc Clinic/Center 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 2015-09-18
1962898106 Kshitij Manchanda Orthopaedic Surgery 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 2015-04-14
1437584455 Amanda C Pina Occupational Therapist 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 2013-09-10
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942557863 Henry Osso-rivera Psychiatry & Neurology 3100 Sw 62nd Ave Ofc, Miami, FL 33155-3009 2012-08-09
1972698108 Israel Alfonso Psychiatry & Neurology 3200 Sw 60 Ct, Suite #302, Miami, FL 33155 2006-10-04
1053849927 Robert F. Cullen, Jr., Md., Pa Psychiatry & Neurology 15715 S Dixie Hwy Ste 407, Miami, FL 33157 2017-05-23
1336693274 Pediatric Specialty Group, Inc. Psychiatry & Neurology 3100 Sw 62nd Ave, Suite 302, Miami, FL 33155-3009 2016-08-09
1609125905 Anuj Jayakar Psychiatry & Neurology 3200 Sw 60th Ct Ste 302, Miami, FL 33155-4071 2012-08-31
1083973572 Marytery Fajardo Psychiatry & Neurology 3200 Sw 60th Ct Ste 302, Miami, FL 33155-4071 2012-05-03
1700170180 Matt Spencer Lallas Psychiatry & Neurology 3200 Sw 60th Ct Ste 302, Miami, FL 33155-4071 2011-06-03
1275832032 Natanya Maio Mishal Psychiatry & Neurology 3200 Sw 60th Ct Ste 302, Miami, FL 33155 2011-03-19
1184949182 Migvis Monduy Psychiatry & Neurology 3200 Sw 60th Ct Ste 302, Miami, FL 33155 2010-04-01
1912133539 Alyssa D Pensirikul Psychiatry & Neurology 1150 Nw 14th St, Miami, FL 33136-2137 2009-06-10
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Competitor

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City MIAMI
Zip Code 33146

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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