Cdu Stat INC
Emergency Medicine in Coral Gables, FL. Organization (NPI-2).
NPI number1306203500
StatusActive
Last updated in NPPESJan 20, 2016
Details
- NPI
- 1306203500
- Entity type
- Organization (NPI-2)
- Legal business name
- Cdu Stat INC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2016
- Last updated
- Jan 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
5000 University DrCoral Gables, FL 33146-2008
Phone 305-662-9372
Mailing address
1643 Harrison PkwyBuilding H, Suite 100
Sunrise, FL 33323-2857
Phone 954-377-2511
Authorized official
Joseph J Portuondo
Owner
3056666640
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