De Cardenas, Gaston A

De Cardenas, Gaston A is an individual health care provider with primary practice located at 3100 Sw 62Nd Ave Suite 124, Miami FL 33155-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. De Cardenas, Gaston A can be contacted via phone (305) 662-8316.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Suite 124 Miami FL 33155-3009
Phone: (305) 662-8316
Fax: (305) 663-8513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X ME0024200 Florida

Profile Details

NPI number 1124014550
LBN Legal business name De Cardenas, Gaston A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Nov 10th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124014550 NPPES
Florida MEDICAID 053874400

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