Healthcare Provider Details

I. General information

NPI: 1497728620
Provider Name (Legal Business Name): CLAUDIO D TUDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD GREENE PAVILION
MIAMI BEACH FL
33140-2800
US

IV. Provider business mailing address

4300 ALTON RD GREENE PAVILION
MIAMI BEACH FL
33140-2800
US

V. Phone/Fax

Practice location:
  • Phone: 305-673-5490
  • Fax: 305-674-2765
Mailing address:
  • Phone: 305-673-5490
  • Fax: 305-674-2765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME73816
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: