Healthcare Provider Details

I. General information

NPI: 1588666333
Provider Name (Legal Business Name): CAROLYN DAMBROSIO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 08/13/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 NW 7TH AVE STE 2278
MIAMI FL
33136-1104
US

IV. Provider business mailing address

1951 NW 7TH AVE STE 2278
MIAMI FL
33136-1104
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6388
  • Fax: 305-243-6372
Mailing address:
  • Phone: 305-243-6388
  • Fax: 305-243-6372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number034582
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number034562
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number034582
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number208058
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: