Porudominsky, David
Porudominsky, David is an individual health care provider with primary practice located at 2901 Coral Hills Dr Ste 370 , Coral Springs FL 33065-4146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Porudominsky, David can be contacted via phone (954) 975-0350.Contact Information
Primary practice address
2901 Coral Hills Dr Ste 370
Coral Springs FL 33065-4146
Phone: (954) 975-0350
Fax: (954) 975-3465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME0045569 | Florida |
Profile Details
| NPI number | 1013993500 |
|---|---|
| LBN Legal business name | Porudominsky, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Nov 14th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013993500 | NPPES |
| Florida | MEDICAID | 049740100 | |
| Florida | Other | 002661 | |
| Florida | Other | 61413 | |
| Florida | Other | 008272 | |
| Florida | Other | 0163188 |
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