Provider Demographics
NPI:1639115371
Name:CADET, JULES A (MD)
Entity Type:Individual
Prefix:
First Name:JULES
Middle Name:A
Last Name:CADET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 NE 54TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-2416
Mailing Address - Country:US
Mailing Address - Phone:305-754-1675
Mailing Address - Fax:305-759-4514
Practice Address - Street 1:128 NE 54TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-2416
Practice Address - Country:US
Practice Address - Phone:305-754-1675
Practice Address - Fax:305-759-4514
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME27293207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL37315000Medicaid
FL37315000Medicaid