Provider Demographics
NPI:1568581767
Name:VIOLETTA LYRA, M.D. P.A.
Entity Type:Organization
Organization Name:VIOLETTA LYRA, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIOLETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-466-2496
Mailing Address - Street 1:1380 NE MIAMI GARDENS DR STE 260
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4721
Mailing Address - Country:US
Mailing Address - Phone:305-466-2496
Mailing Address - Fax:305-466-2497
Practice Address - Street 1:1380 NE MIAMI GARDENS DR STE 260
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-4721
Practice Address - Country:US
Practice Address - Phone:305-466-2496
Practice Address - Fax:305-466-2497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty