Provider Demographics
NPI:1952499139
Name:CARDENAS, NANCY F (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:F
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:F
Other - Last Name:CARDENAS-BADA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7401 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2979
Mailing Address - Country:US
Mailing Address - Phone:954-721-2444
Mailing Address - Fax:954-721-6504
Practice Address - Street 1:7401 N UNIVERSITY DR
Practice Address - Street 2:SUITE 103
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2979
Practice Address - Country:US
Practice Address - Phone:954-721-2444
Practice Address - Fax:954-721-6504
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL46094207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE17814Medicare UPIN
FL02376XMedicare PIN