Individual provider · NPI-1

Carole D. Brathwaite Talbot, M.D.

Pathology, Clinical Pathology/Laboratory Medicine · Miami, FL

NPI number1619949641
StatusActive
Last updated in NPPESMar 30, 2016

Details

NPI
1619949641
Entity type
Individual (NPI-1)
Name
Mrs. Carole D. Brathwaite Talbot
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 3, 2006
Last updated
Mar 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicineme62536FLYes
207ZC0500X Pathology, CytopathologyME62536FL
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathologyme62536FL

Other names

  • Carole D. Brathwaite (Former Name)

Practice location

3100 Sw 62 Avenue
Miami, FL 33155-3009

Phone 305-662-8248 · Fax 305-669-6419

Mailing address

P.O. Box 198235
Atlanta, GA 30384-8235

Phone 305-662-8248 · Fax 305-669-6419

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