Basic Information
| Provider Information | |||||||||
| NPI: | 1700873734 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FALABELLA | ||||||||
| FirstName: | ANNA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3850 HOLLYWOOD BLVD | ||||||||
| Address2: | STE 301 | ||||||||
| City: | HOLLYWOOD | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330216748 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9549611200 | ||||||||
| FaxNumber: | 9549630378 | ||||||||
| Practice Location | |||||||||
| Address1: | 3000 SW 148TH AVE | ||||||||
| Address2: | STE 250 | ||||||||
| City: | MIRAMAR | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330274169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9548855551 | ||||||||
| FaxNumber: | 9548855559 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2005 | ||||||||
| LastUpdateDate: | 03/23/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | ME75028 | FL | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.