Doctor Name: | DR. ERNESTO CARDOZO |
NPI Number: | 1033280565 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME90704 |
Business Practice Address: | 10081 Pines Blvd Ste E Pines & Palm Office Park Pembroke Pines, FL - 330246171 |
Business Phone Number: | 9544998545 |
Business Fax Number: | 9544998547 |
Mailing Address: | 10081 Pines Blvd Ste E, Pines & Palm Office Park PEMBROKE PINES |
State: | FL |
Postal Code: | 330246171 |
Phone Number: | 9544998545 |
Fax Number: | 9544998547 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | ME90704 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |