# MIKE R DE CARDENAS MD PA

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

## Provider details

- **NPI number:** 1821237587
- **Authorized official:** CLARA GOMEZ (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (786) 621-3897

## Contact information

- **Practice address:** 2525 SW 75TH AVE, MIAMI, FL 33155-2800
- **Practice address phone:** (305) 448-2442
- **Practice address fax:** (786) 975-2643
- **Mailing address:** 2525 SW 75TH AVE, MIAMI, FL 33155-2800
- **Mailing address phone:** (305) 448-2442
- **Mailing address fax:** (786) 975-2643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | FL | Yes |

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 02/19/2009