Organization
CDRS PEDIATRICS MDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOURED DAGHISTANI II M.D. (SECRETARY)
(305) 274-1662
Entity
Organization
Contact information
Practice address
8940 N KENDALL DR, SUITE 603E, MIAMI, FL 33176-2148
(305) 274-1662
Mailing address
8940 N KENDALL DR, SUITE 603E, MIAMI, FL 33176-2148
(305) 274-1662
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
ME54758
FL
2080P0203X
Pediatric Critical Care Medicine Physician
ME75180
FL
2080P0207X
Pediatric Hematology & Oncology Physician
ME47164
FL
2080P0208X
Pediatric Infectious Diseases Physician
Primary
ME56516
FL
Other
Enumeration date
05/17/2007
Last updated
09/11/2025
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