Healthcare Provider Details

I. General information

NPI: 1104089960
Provider Name (Legal Business Name): DAHLIA CINDY MOSCARDINI M.B.B.S., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAHLIA CINDY MOSCARDINI M.B.B.S

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 PGA BLVD STE #300
PALM BEACH GARDENS FL
33410
US

IV. Provider business mailing address

3401 PGA BLVD STE #300
PALM BEACH GARDENS FL
33410
US

V. Phone/Fax

Practice location:
  • Phone: 561-741-0000
  • Fax: 561-741-0002
Mailing address:
  • Phone: 561-741-0000
  • Fax: 561-741-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number64676
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: