Organization
CDU STAT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J PORTUONDO M.D. (OWNER)
(305) 666-6640
Entity
Organization
Contact information
Practice address
5000 UNIVERSITY DR, CORAL GABLES, FL 33146-2008
(305) 662-9372
Mailing address
1643 HARRISON PKWY, BUILDING H, SUITE 100, SUNRISE, FL 33323-2857
(954) 377-2511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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