Provider Demographics
NPI:1457684474
Name:PAGLIALONGA NOVOTNA, EVA (AP, DAOM)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:PAGLIALONGA NOVOTNA
Suffix:
Gender:F
Credentials:AP, DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 OBISPO AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3511
Mailing Address - Country:US
Mailing Address - Phone:305-858-5665
Mailing Address - Fax:305-858-5665
Practice Address - Street 1:900 SW 8TH ST # CU-2
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3751
Practice Address - Country:US
Practice Address - Phone:305-858-5665
Practice Address - Fax:786-725-4911
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2389171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist