Provider Demographics
NPI:1235569302
Name:ERNESTO CARDOZO, M.D., P.A.
Entity Type:Organization
Organization Name:ERNESTO CARDOZO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDOZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-499-8545
Mailing Address - Street 1:10081 PINES BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6184
Mailing Address - Country:US
Mailing Address - Phone:954-499-8545
Mailing Address - Fax:954-499-8547
Practice Address - Street 1:10081 PINES BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6184
Practice Address - Country:US
Practice Address - Phone:954-499-8545
Practice Address - Fax:954-499-8547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty