Individual
DR. GUSTAVO A CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13550 JOG RD, SUITE 204, DELRAY BEACH, FL 33446-3808
(561) 515-0080
(561) 300-8620
Mailing address
13550 JOG RD, SUITE 204, DELRAY BEACH, FL 33446-3808
(561) 515-0080
(561) 300-8620
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME101884
FL
207RI0011X
Interventional Cardiology Physician
ME101884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000343900
—
FL
01
—
68385
BCBS
FL
Enumeration date
02/12/2007
Last updated
03/21/2016
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