Organization
EDUARDO KOFMAN MD PA
Active
Organization
EDUARDO KOFMAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO KOFMAN MD (PRESIDENT)
(305) 892-3101
Entity
Organization
Contact information
Practice address
12550 BISCAYNE BLVD, SUITE 600, NORTH MIAMI, FL 33181-2541
(305) 892-3101
(309) 892-3103
Mailing address
12550 BISCAYNE BLVD, SUITE 600, NORTH MIAMI, FL 33181-2541
(305) 892-3101
(309) 892-3103
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME84340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37126
BLUE CROSS
FL
Enumeration date
04/29/2008
Last updated
08/11/2009
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