# BERMUDEZ MEDICAL GROUP, LLC.

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

## Provider details

- **NPI number:** 1700396637
- **Authorized official:** LIDIA ROSA BERMUDEZ M.D. (M.D.)
- **Authorized official phone:** (305) 300-5501

## Contact information

- **Practice address:** 2601 DAVIE BLVD STE B, FORT LAUDERDALE, FL 33312-3029
- **Practice address phone:** (305) 300-5501
- **Practice address fax:** (305) 383-7408
- **Mailing address:** 2601 DAVIE BLVD STE B, FORT LAUDERDALE, FL 33312-3029
- **Mailing address phone:** (305) 300-5501
- **Mailing address fax:** (305) 383-7408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 09/19/2025