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Individual

GEORGE HUMBERTO BORDENAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8720 N KENDALL DR, MIAMI, FL 33176-2299
(305) 446-2444
(305) 446-7847
Mailing address
8720 N KENDALL DR STE 115, MIAMI, FL 33176-2208
(305) 446-2444
(305) 446-7847

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD0000036724
TN
207RC0000X
Cardiovascular Disease Physician
Primary
ME0055836
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06465800
FL
Enumeration date
09/30/2005
Last updated
03/07/2023
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