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Individual

ADOLFO CARDENAS DULAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
228 NE HANCOCK AVE, MADISON, FL 32340-2560
(850) 973-2767
(850) 973-8860
Mailing address
PO BOX 934, MADISON, FL 32341-0934
(850) 973-2767
(850) 973-8860

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0027368
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050040
VISTA
01
18559
BLUE CROSS AND BLUE SHIEL
FL
01
203860
HEALTH EASE
01
CG0345
RAILROAD MEDICARE
FL
Enumeration date
08/03/2005
Last updated
02/22/2008
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