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E. R. D. MEDICAL CORP NPI 1912179029


NPI Information

NPI: 1912179029
Provider Name: E. R. D. MEDICAL CORP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5190 NW 167TH ST
STE 104
MIAMI GARDENS, FL
ZIP 33014
Phone: (305) 620-6097
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E. R. D. MEDICAL CORP is a general practice in Miami Gardens, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee E. R. D. MEDICAL CORP NPI is 1912179029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5190 NW 167TH ST
STE 104
MIAMI GARDENS, FL
ZIP 33014-328
Phone: (305) 620-6097

The provider's authorized official is Randy Nunez .
The authorized official title is President and has the following contact phone number (305) 620-6097.

The enumeration date for this NPI number is 3/28/2008 and was last updated on 3/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeEXEMPTFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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