Healthcare Provider Details

I. General information

NPI: 1326236431
Provider Name (Legal Business Name): ONEITH O CADIZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST SUITE 410
MIAMI FL
33136-2137
US

IV. Provider business mailing address

1150 NW 14TH ST SUITE 410
MIAMI FL
33136-2137
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-7570
  • Fax: 305-244-7572
Mailing address:
  • Phone: 305-243-7570
  • Fax: 305-244-7572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 105860
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: