# EBERWEIN AND SPAULDING MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134313349
- **Authorized official:** DR. RUDOLPH EBERWEIN M.D. (DIRECTOR)
- **Authorized official phone:** (786) 348-7314

## Contact information

- **Practice address:** 11760 SW 40TH ST STE 112, MIAMI, FL 33175-3589
- **Practice address phone:** (305) 485-7979
- **Practice address fax:** (305) 485-3533
- **Mailing address:** 11760 SW 40TH ST STE 112, MIAMI, FL 33175-3589
- **Mailing address phone:** (305) 485-7979
- **Mailing address fax:** (305) 485-3533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME83258 | FL | Yes |

## Other

- **Enumeration date:** 08/30/2007
- **Last updated:** 04/20/2008