Provider Demographics
NPI:1730910100
Name:BAFFI JUVIEL, PABLO LAZARO (APRN)
Entity type:Individual
Prefix:MR
First Name:PABLO
Middle Name:LAZARO
Last Name:BAFFI JUVIEL
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6040 NW 201ST ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4888
Mailing Address - Country:US
Mailing Address - Phone:305-301-3828
Mailing Address - Fax:
Practice Address - Street 1:6040 NW 201ST ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4888
Practice Address - Country:US
Practice Address - Phone:305-301-3828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11034621363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty