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Natalia Sudakov, M.d., P.a.
Medical Specialty Clinic/Center in Hallandale Beach, Florida
NPI 1699905729

Natalia Sudakov, M.d., P.a. is a Medical Specialty Clinic/Center based in Hallandale Beach, FL and is specialized in Medical Specialty. Natalia Sudakov, M.d., P.a. practices in Hallandale Beach, FL. The NPI Number for Natalia Sudakov, M.d., P.a. is 1699905729 and holds a License No. ME85624 (Florida).

The current practice location address for Natalia Sudakov, M.d., P.a. is 1801 S Ocean Dr, Hallandale Beach, FL and can be reached out via phone at 954-391-7864 and via fax at 954-391-8468.

Location: 1801 S Ocean Dr, Hallandale Beach, FL, 33009-4945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699905729
Provider Name
Natalia Sudakov, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
1801 S Ocean Dr, Hallandale Beach, FL, 33009-4945
Phone Number
954-391-7864
Fax Number
954-391-8468
Provider Enumeration Date
07/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9K9711 01 NY MEDICARE ID-TYPE UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
1801 S Ocean Dr
City
Hallandale Beach
State
Florida
Zip
33009-4945
Phone Number
954-391-7864
Fax Number
954-391-8468
person
Provider Business Mailing Address Details
Address
1801 S Ocean Dr
City
Hallandale Beach
State
Florida
Zip
33009-4945
Phone Number
954-391-7864
Fax Number
954-391-8468
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
ME85624 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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