Provider Demographics
NPI:1922050269
Name:MAS, MADELEEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:MADELEEN
Middle Name:M
Last Name:MAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1500 CONCORD TER
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2815
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:954-858-0404
Practice Address - Street 1:3659 S MIAMI AVE
Practice Address - Street 2:SUITE 3002
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4227
Practice Address - Country:US
Practice Address - Phone:305-858-7940
Practice Address - Fax:305-858-1092
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2014-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME536812080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE93060Medicare UPIN