Individual
DAVID PORUDOMINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 CORAL HILLS DR STE 370, CORAL SPRINGS, FL 33065-4146
(954) 975-0350
(954) 975-3465
Mailing address
2901 CORAL HILLS DR STE 370, CORAL SPRINGS, FL 33065-4146
(954) 975-0350
(954) 975-3465
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0045569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002661
NEIGHBORHOOD
FL
01
—
008272
AVMED
FL
01
—
0163188
GHI
FL
05
—
049740100
—
FL
01
—
61413
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/16/2005
Last updated
11/14/2025
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