Healthcare Provider Details

I. General information

NPI: 1942112230
Provider Name (Legal Business Name): CADOMED,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 N LAUREL DR APT 2A
MARGATE FL
33063-5316
US

IV. Provider business mailing address

7800 W OKLND PK BLVD STE 105
SUNRISE FL
33351-1120
US

V. Phone/Fax

Practice location:
  • Phone: 954-326-7244
  • Fax:
Mailing address:
  • Phone: 954-326-7244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JEAN EMILE
Title or Position: MGR
Credential: APRN
Phone: 954-326-7244