Provider Demographics
NPI:1598702482
Name:SHALLER, RONIT (MD)
Entity Type:Individual
Prefix:DR
First Name:RONIT
Middle Name:
Last Name:SHALLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:333 ARTHUR GODFREY RD STE 514
Mailing Address - Street 2:ABC KID'S PEDIATRICS, LLC
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3640
Mailing Address - Country:US
Mailing Address - Phone:786-802-2089
Mailing Address - Fax:786-802-2091
Practice Address - Street 1:333 ARTHUR GODFREY RD STE 514
Practice Address - Street 2:ABC KID'S PEDIATRICS, LLC
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3640
Practice Address - Country:US
Practice Address - Phone:786-802-2089
Practice Address - Fax:786-802-2091
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2016-07-06
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Provider Licenses
StateLicense IDTaxonomies
FLME94530173000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277451800Medicaid