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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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