Organization
MDR MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE F CARDONA MD (PRESIDENT)
(786) 518-2451
Entity
Organization
Contact information
Practice address
7951 SW 40TH ST, SUITE 212, MIAMI, FL 33155-6752
(786) 518-2451
(786) 518-2454
Mailing address
7951 SW 40TH ST, SUITE 212, MIAMI, FL 33155-6752
(786) 518-2451
(786) 518-2454
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME68587
FL
208D00000X
General Practice Physician
Primary
ME68587
FL
Other
Enumeration date
04/03/2012
Last updated
03/01/2013
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