Healthcare Provider Details

I. General information

NPI: 1336178045
Provider Name (Legal Business Name): JUDITH S SIMMS CENDAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUDITH SELINE SIMMS-CENDAN

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST STE 1160
MIAMI FL
33136-2107
US

IV. Provider business mailing address

1120 NW 14TH ST STE 1160
MIAMI FL
33136-2107
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-4960
  • Fax: 305-243-3634
Mailing address:
  • Phone: 305-243-4960
  • Fax: 305-243-3634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME63801
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME63801
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: