Individual
FABIANO NASSAR DE CASTRO CARDOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE FL 33136, MIAMI, FL 33136-1005
(305) 585-8178
Mailing address
1611 NW 12TH AVE FL 33136, MIAMI, FL 33136-1005
(305) 585-8178
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME170295
FL
Other
Enumeration date
09/16/2020
Last updated
01/06/2025
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