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Organization

ROBERT C SIUDMAK & ASSOCIATES MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT C SIUDMAK M.D. (PRESIDENT)
(954) 961-8303
Entity
Organization

Contact information

Practice address
3801 HOLLYWOOD BLVD, SUITE 250, HOLLYWOOD, FL 33021-6758
(954) 961-8303
(954) 961-8307
Mailing address
3801 HOLLYWOOD BLVD, SUITE 250, HOLLYWOOD, FL 33021-6758
(954) 961-8303
(954) 961-8307

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME40226
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067037500
FL
Enumeration date
07/26/2006
Last updated
05/21/2013
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