Organization
DE CARDENAS & VILLALONGA MDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GASTON AUGUSTO DE CARDENAS M.D. (PRESIDENT)
(305) 662-8316
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, SUITE 124, MIAMI, FL 33155-3009
(305) 662-8316
(305) 663-8513
Mailing address
3100 SW 62ND AVE, SUITE 124, MIAMI, FL 33155-3009
(305) 662-8316
(305) 663-8513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0024200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277588300
—
FL
Enumeration date
11/14/2006
Last updated
06/24/2008
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