Organization
LAURA SUDARSKY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SUDARSKY MD (OWNER)
(954) 861-0760
Entity
Organization
Contact information
Practice address
6333 N FEDERAL HWY, FT LAUDERDALE, FL 33308-1907
(954) 861-0760
(954) 337-3309
Mailing address
6333 N FEDERAL HWY, FT LAUDERDALE, FL 33308-1907
(954) 861-0760
(954) 337-3309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME95533
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME95533
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
01/31/2014
Last updated
03/03/2014
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