DR. SHIRLEY AMANDA GAZABON


Address: 1695 Nw 9th Avenue, Suite 2423, Department of Psychiatry and Behavioral Sciences, Miami, FL 33136-4350
Phone: 3053558123

DR. SHIRLEY AMANDA GAZABON (NPI# 1942251566) 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) 1942251566
Entity Type Individual
Full Name DR. SHIRLEY AMANDA GAZABON
Credential PH.D.
Practice Address 1695 Nw 9th Avenue, Suite 2423
Department of Psychiatry and Behavioral Sciences
Miami
FL 33136-4350
Mailing Address 1695 Nw 9th Avenue, Suite 2423
Department of Psychiatry and Behavioral Sciences
Miami
FL 33136
Practice Telephone 3053558123
Practice Fax Number 3053558095
Mailing Telephone 3053558123
Mailing Fax Number 3053558095
Enumeration Date 2006-05-16
Last Update Date 2011-07-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY7129 FL Behavioral Health & Social Service Providers

Office Location

Street Address 1695 NW 9TH AVENUE, SUITE 2423
DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES
City MIAMI
State FL
Zip Code 33136-4350

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1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770125247 Edgar N. Arbaje Psychologist 6561 Sw 32nd St, Miami, FL 33155-3949 2019-10-16
1023573789 Michelle Marie Rodriguez Diaz Psychologist 1120 Nw 14th St Ste 1477a, Miami, FL 33136-2107 2019-02-07
1356818686 Ivelisse Marie Barreiro Rosado Psychologist 540 Brickell Key Dr Apt 1528, Miami, FL 33131-3535 2018-10-24
1407342249 Bridget Catherine Gamber Davidson Psychologist 1601 Nw 12th Ave # 4046, Miami, FL 33136-1005 2018-07-05
1366936619 Diane Lynn Hoffer Psychologist 4750 Sw 82nd St, Miami, FL 33143-8602 2018-06-20
1831681253 Tali Yuz Berliner Psychologist 2225 Ne 204th St, Miami, FL 33180-1311 2018-06-01
1033614441 Miriam J Rodriguez, LLC Psychologist 2730 Sw 3rd Ave Ste 301, Miami, FL 33129-2323 2018-03-27
1629596739 Urbanpromise Miami Psychologist 677 Sw 1st St, Second Floor, Miami, FL 33130 2017-09-08
1144747791 Katalina Fernandez Mcinerney Psychologist 1150 Nw 14th St Ste 604, Miami, FL 33136-2117 2017-08-24
1477093888 Dr. Mayra Burguera, Psy.d., P.a. Psychologist 1110 Brickell Ave Ste 407, Miami, FL 33131 2017-03-03
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City MIAMI
Zip Code 33136

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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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