Individual
ABRAHAM CONDARCO-PELAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 LENOX AVE, MIAMI BEACH, FL 33139-3806
(305) 229-5843
(308) 822-1269
Mailing address
1260 LENOX AVE, MIAMI BEACH, FL 33139-3806
(305) 229-5843
(308) 822-1269
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0034273
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274668900
—
FL
01
—
95640
BLUE SHIELD #
FL
01
—
ME0034273
FLORIDA LICENSE #
FL
Enumeration date
04/03/2007
Last updated
08/26/2016
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