Organization
DR GIDWANI M D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJA GIDWANI M.D. (OFFICE MANAGER)
(844) 443-9264
Entity
Organization
Contact information
Practice address
3920 SW 186TH WAY, MIRAMAR, FL 33029-2720
(844) 443-9264
Mailing address
3920 SW 186TH WAY, MIRAMAR, FL 33029-2720
(844) 443-9264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME111199
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME109293
FL
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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