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Organization

KIDS CARDIAC CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK WILLIAM BANDEL MD (DIRECTOR)
(786) 282-6063
Entity
Organization

Contact information

Practice address
20818 W DIXIE HWY, MIAMI, FL 33180-1147
(305) 933-3035
(305) 933-8035
Mailing address
20818 W DIXIE HWY, MIAMI, FL 33180-1147
(305) 933-3035
(305) 933-8035

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000945500
FL
05
002899900
FL
Enumeration date
06/29/2009
Last updated
02/04/2026
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