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Organization

GUSTAVO A CARDENAS MD PA

Active
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Organization

GUSTAVO A CARDENAS MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GUSTAVO A CARDENAS M.D. (PRESIDENT)
(954) 817-1445
Entity
Organization

Contact information

Practice address
11195 S JOG RD, SUITE 6, BOYNTON BEACH, FL 33437-1829
(954) 817-1445
Mailing address
9142 DUPONT PL, WELLINGTON, FL 33414-6476
(954) 817-1445

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME101884
FL
207RI0011X
Interventional Cardiology Physician
ME101884
FL

Other

Enumeration date
01/25/2013
Last updated
01/25/2013
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