Provider Demographics
NPI:1457335499
Name:APOLLON, KATIA MAGALIE (MD)
Entity Type:Individual
Prefix:
First Name:KATIA
Middle Name:MAGALIE
Last Name:APOLLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8900 SW 117TH AVE
Mailing Address - Street 2:#202B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2175
Mailing Address - Country:US
Mailing Address - Phone:305-630-4100
Mailing Address - Fax:305-275-6450
Practice Address - Street 1:8900 SW 117TH AVE
Practice Address - Street 2:#202B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2175
Practice Address - Country:US
Practice Address - Phone:305-630-4100
Practice Address - Fax:305-275-6450
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME86146207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA6845626OtherDEA
H55160Medicare UPIN
BA6845626OtherDEA