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NPI Code Detail

MEDICARE: GERALDO BANDEL MD

MEDICARE: GERALDO BANDEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianME0079654FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
106577OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356320808
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDO BANDEL MD
Provider Business Mailing Address
First Line : 1475 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3222
Country : US
Telephone Number : 305-558-2500
Fax Number : 305-826-9002
Provider Business Practice Location Address
First Line : 1475 W 49TH ST
Second Line : EMERGENCY DEPARTMENT
City : HIALEAH
State : FL
Zip : 33012-3222
Country : US
Telephone Number : 305-558-2500
Fax Number : 305-826-9002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 12/04/2012

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Directions to “ GERALDO BANDEL MD” Practice Location

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