Dr Kerry Patricia Latham, MD | |
1611 Nw 12th Ave, Et3019, Miami, FL 33136-1005 | |
(305) 585-5285 | |
Not Available |
Full Name | Dr Kerry Patricia Latham |
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Gender | Female |
Speciality | Plastic Surgery |
Location | 1611 Nw 12th Ave, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588733562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101259723 (Virginia) | Secondary |
208200000X | Plastic Surgery | 0101259723 (Virginia) | Secondary |
208200000X | Plastic Surgery | ME92290 (Florida) | Primary |
Entity Name | Shock Trauma Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679512909 PECOS PAC ID: 6800882317 Enrollment ID: O20040421000976 |
Mailing Address | Practice Location Address |
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Dr Kerry Patricia Latham, MD 2101 Brickell Ave Apt 403, Miami, FL 33129-2102 Ph: (210) 385-3500 | Dr Kerry Patricia Latham, MD 1611 Nw 12th Ave, Et3019, Miami, FL 33136-1005 Ph: (305) 585-5285 |
Dr. Walter R Mullin, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9100 South Dadeland Blvd, 502, Miami, FL 33156 Phone: 305-325-1441 Fax: 305-371-3499 | |
Adam Jason Rubinstein, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2999 Ne 191st St, Ph6, Miami, FL 33180 Phone: 305-340-2191 | |
Mel Thomas Ortega, MD, F.A.C.S. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8740 N Kendall Dr, Suite 209, Miami, FL 33176 Phone: 305-412-9990 Fax: 305-412-9767 | |
Mr. Joel Murray Levin, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8700 N Kendall Dr, Suite 206, Miami, FL 33176 Phone: 305-665-1017 Fax: 305-271-5269 | |
Johnny U. Franco, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8940 N Kendall Dr, Suite 903 E, Miami, FL 33176 Phone: 305-595-2969 Fax: 305-595-6491 | |
Dr. Myron Mayer Persoff, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3659 S Miami Ave, Suite 4006, Miami, FL 33133 Phone: 305-858-5255 Fax: 305-858-5235 | |
Dr. Chad A Perlyn, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 13400 Sw 120th St, Suite 100, Miami, FL 33186 Phone: 786-624-5363 |