Provider Demographics
NPI:1497006159
Name:LAURA DE BIEN MD PA
Entity Type:Organization
Organization Name:LAURA DE BIEN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE BIEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-510-6380
Mailing Address - Street 1:PO BOX 350926
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-0926
Mailing Address - Country:US
Mailing Address - Phone:786-510-6380
Mailing Address - Fax:305-229-4054
Practice Address - Street 1:8660 W FLAGLER ST
Practice Address - Street 2:STE 111
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2031
Practice Address - Country:US
Practice Address - Phone:786-510-6380
Practice Address - Fax:305-220-4054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2014-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1093062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME109306OtherFLORIDA LICENCE