Provider Demographics
NPI:1447401450
Name:LAUDITO, ANTONIO (MD)
Entity Type:Individual
Prefix:
First Name:ANTONIO
Middle Name:
Last Name:LAUDITO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:7150 W 20TH AVE STE 615
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5511
Mailing Address - Country:US
Mailing Address - Phone:786-475-1985
Mailing Address - Fax:786-475-2854
Practice Address - Street 1:4301 W MARKHAM ST # 713
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-686-5935
Practice Address - Fax:501-686-5323
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2022-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME74631208G00000X
KS04-33445208G00000X
MN106140208G00000X
ARE-15278208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS111301002Medicare UPIN