Organization
CARMONA AND DENNSTEDT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO CARMONA MD (PRESIDENT)
(321) 268-6111
Entity
Organization
Contact information
Practice address
951 N WASHINGTON AVE, TITUTSVILLE, FL 32796
(321) 268-6111
Mailing address
2555 PONCE DELEON BLVD, 4TH FLOOR, CORAL GABLES, FL 33134
(305) 702-5135
(305) 441-2144
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98036
BCBSFL GROUP NUMBER
FL
Enumeration date
03/30/2006
Last updated
10/11/2007
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