Organization
TRAUMA AND CRITICAL CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN PUENTE M.D. (PRESIDENT)
(954) 491-0900
Entity
Organization
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 491-0900
Mailing address
2006 NE 49TH ST, FORT LAUDERDALE, FL 33308-4524
(954) 210-4120
(954) 958-0221
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
06/27/2017
Last updated
05/30/2025
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