# ROBERT C SIUDMAK & ASSOCIATES MD PA

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

## Provider details

- **NPI number:** 1669495842
- **Authorized official:** DR. ROBERT C SIUDMAK M.D. (PRESIDENT)
- **Authorized official phone:** (954) 961-8303

## Contact information

- **Practice address:** 3801 HOLLYWOOD BLVD, SUITE 250, HOLLYWOOD, FL 33021-6758
- **Practice address phone:** (954) 961-8303
- **Practice address fax:** (954) 961-8307
- **Mailing address:** 3801 HOLLYWOOD BLVD, SUITE 250, HOLLYWOOD, FL 33021-6758
- **Mailing address phone:** (954) 961-8303
- **Mailing address fax:** (954) 961-8307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME40226 | FL | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 05/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 067037500 | — | FL |
