Organization Name: | PEDRO CONDE, M.D., P.A. |
NPI Number: | 1073614186 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEDRO C CONDE (PRESIDENT SOLE PRACTIONER) |
Mailing Address: | 7500 Sw 8th St Suite 101 Miami |
State: | FL US |
Postal Code: | 331444400 |
Phone Number: | 3052756346 |
Fax Number: | 3052756347 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |