Provider Demographics
NPI:1326287160
Name:PAZ-PABON, CHARLOTTE NICOLE (MD)
Entity Type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:NICOLE
Last Name:PAZ-PABON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 SW 62ND PLACE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143
Mailing Address - Country:US
Mailing Address - Phone:305-665-1133
Mailing Address - Fax:305-666-0258
Practice Address - Street 1:7300 SW 62ND PLACE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-665-1133
Practice Address - Fax:305-666-0258
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT193338207V00000X
FLME113271207V00000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics