Healthcare Provider Details

I. General information

NPI: 1174901862
Provider Name (Legal Business Name): JULIO SCARDINI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2015
Last Update Date: 07/01/2020
Certification Date: 07/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 N UNIVERSITY DR STE 350
CORAL SPRINGS FL
33071-6000
US

IV. Provider business mailing address

8150 SW 72ND AVE APT 11048
MIAMI FL
33143-7776
US

V. Phone/Fax

Practice location:
  • Phone: 954-227-2700
  • Fax:
Mailing address:
  • Phone: 954-415-6446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberOS16318
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: