BARDISA MEDICAL CENTER NPI 1215177951

NPI Information

NPI: 1215177951
Provider Name: BARDISA MEDICAL CENTER
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
7374 SW 93RD AVE
SUITE 203
MIAMI, FL
ZIP 33173
Phone: (305) 661-2002
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BARDISA MEDICAL CENTER is an adult medicine family medicine in Miami, FL. The provider is definition to come. BARDISA MEDICAL CENTER NPI is 1215177951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7374 SW 93RD AVE
SUITE 203
MIAMI, FL
ZIP 33173-201
Phone: (305) 661-2002
Fax: (305) 661-2003

The provider's authorized official is Roselind Bardisa .
The authorized official title is President/doctor and has the following contact phone number (305) 661-2002.

The enumeration date for this NPI number is 2/20/2009 and was last updated on 4/19/2010.

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
1	207QA0505X	Family Medicine	Adult Medicine	OS 8030	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H63833	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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