Individual
DR. GASTON A DE CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, SUITE 124, MIAMI, FL 33155-3009
(305) 662-8316
(305) 663-8513
Mailing address
3100 SW 62ND AVE, SUITE 124, MIAMI, FL 33155-3009
(305) 662-8316
(305) 663-8513
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME0024200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053874400
—
FL
Enumeration date
09/21/2005
Last updated
11/10/2010
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