Healthcare Provider Details

I. General information

NPI: 1063355352
Provider Name (Legal Business Name): BIDART HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1541 BRICKELL AVE APT B2603
MIAMI FL
33129-3108
US

IV. Provider business mailing address

1541 BRICKELL AVE APT B2603
MIAMI FL
33129-3108
US

V. Phone/Fax

Practice location:
  • Phone: 786-587-4476
  • Fax: 786-431-2550
Mailing address:
  • Phone: 786-587-4476
  • Fax: 786-431-2550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICIO MAURO BIDART
Title or Position: MANAGER
Credential:
Phone: 786-587-4476