Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME39998 | FL |
NPI | 1003805383 |
---|---|
Provider Name | Angel R Cadiz |
First Address | Plantation, FL 33324-3920 |
Second Address | Coconut Creek, FL 33073-3481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 01/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
372052700 | (05) | FL |