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Mike Decardenas, MD
Specialist in Miami, Florida
NPI 1467585828

Mike Decardenas is a Specialist based in Village Of Palmetto Bay, FL. Mike Decardenas practices in Miami, FL and has the professional credentials of MD. The NPI Number for Mike Decardenas is 1467585828 and holds a License No. ME44880 (Florida).

The current practice location address for Mike Decardenas is 2525 Sw 75Th Ave, Miami, FL and can be reached out via phone at 305-260-1852.

Location: 2525 Sw 75Th Ave, Miami, FL, 33158-1827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467585828
Provider Name
Mike Decardenas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2525 Sw 75Th Ave, Miami, FL, 33158-1827
Phone Number
305-260-1852
Fax Number
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
069854700 05 FL
50380 01 FL BCBS
96568 01 FL BLUE CROSS BLUE SHIELD
104014 01 FL AVMED
592461 01 FL NHP
institution
Provider Business Practice Location Address Details
Address
2525 Sw 75Th Ave
City
Miami
State
Florida
Zip
33155-2800
Phone Number
305-260-1852
Fax Number
person
Provider Business Mailing Address Details
Address
2525 Sw 75Th Ave
City
Miami
State
Florida
Zip
33155-2800
Phone Number
305-260-1852
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME44880 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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