Individual
DR. CAMERON DEZFULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1500 NW 12TH AVE,, JMT-EAST 1007, MIAMI, FL 33136-1028
(305) 243-4664
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
102382
FL
2080P0203X
Pediatric Critical Care Medicine Physician
102382
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME102382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000446000
—
FL
Enumeration date
07/30/2005
Last updated
06/25/2009
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