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Contact Information

CDRS PEDIATRICS MDS PA
8940 N KENDALL DR
SUITE 603E
MIAMI, FL33176-2148
 Phone: 305-274-1662
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CDRS PEDIATRICS MDS PA

NPI # 1366659146
LBN Legal business name CDRS PEDIATRICS MDS PA
Authorized official DOURED DAGHISTANI - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
FL License # ME47164
FL License # ME54758
FL License # ME56516
FL License # ME75180
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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