Dezfulian, Cameron

Dezfulian, Cameron is an individual health care provider with primary practice located at 1611 Nw 12Th Ave , Miami FL 33136-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Dezfulian, Cameron can be contacted via phone (305) 585-1111.

Contact Information

Primary practice address
1611 Nw 12Th Ave Miami FL 33136-1005
Phone: (305) 585-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 102382 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 102382 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME102382 Florida

Profile Details

NPI number 1578563565
LBN Legal business name Dezfulian, Cameron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2005
Last updated Jun 25th, 2009 - about 17 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 1578563565 NPPES
Florida MEDICAID 000446000

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