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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