Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | PA9107253 | FL |
NPI | 1003107640 |
---|---|
Provider Name | Robert Scordato JR. |
First Address | Miami, FL 33130-2995 |
Second Address | Miami Beach, FL 33140-2948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2011 |
Last Update Date | 29/01/2014 |