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Contact Information

DAVID PORUDOMINSKY, MD
2901 CORAL HILLS DR STE 370
CORAL SPRINGS, FL33065-4146
 Phone: 954-975-0350
 Fax: 954-975-3465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DAVID PORUDOMINSKY · (Male)

NPI Number 1013993500
Status Active
Credentials MD
Entity Individual
Enumeration date 12/16/2005
Last updated 11/14/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0045569
  • FL Medicaid 049740100
  • FL Other 008272 AVMED
  • FL Other 61413 BLUE CROSS BLUE SHIELD
  • FL Other 0163188 GHI
  • FL Other 002661 NEIGHBORHOOD
Hospital affiliation(s)
  • NORTHWEST MEDICAL CENTER - (Acute Care)
    2801 N STATE RD 7
    MARGATE, FL 33063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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