Organization
MIKE R DE CARDENAS MD PA
Active
Organization
MIKE R DE CARDENAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA GOMEZ (CREDENTIALING SPECIALIST)
(786) 621-3897
Entity
Organization
Contact information
Practice address
2525 SW 75TH AVE, MIAMI, FL 33155-2800
(305) 448-2442
(786) 975-2643
Mailing address
2525 SW 75TH AVE, MIAMI, FL 33155-2800
(305) 448-2442
(786) 975-2643
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
FL
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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