Healthcare Provider Details

I. General information

NPI: 1831356906
Provider Name (Legal Business Name): HUGH JOSE LADD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE DIVISION OF CRITICAL CARE MEDICINE
MIAMI FL
33155-3009
US

IV. Provider business mailing address

3100 SW 62ND AVE DIVISION OF CRITICAL CARE MEDICINE
MIAMI FL
33155-3009
US

V. Phone/Fax

Practice location:
  • Phone: 305-666-6511
  • Fax: 305-663-0530
Mailing address:
  • Phone: 305-666-6511
  • Fax: 305-663-0530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number243572
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberME106859
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: