Provider Demographics
NPI:1346450392
Name:DIGERONIMO, ERNEST M (MD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:M
Last Name:DIGERONIMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:19495 BISCAYNE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2319
Mailing Address - Country:US
Mailing Address - Phone:305-932-5557
Mailing Address - Fax:305-932-3155
Practice Address - Street 1:19495 BISCAYNE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2319
Practice Address - Country:US
Practice Address - Phone:305-932-5557
Practice Address - Fax:305-932-3155
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL00376162086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery