Healthcare Provider Details
I. General information
NPI: 1942131073
Provider Name (Legal Business Name): CORDIAL HEALTH FL PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3335 BURNS RD STE 300
PALM BEACH GARDENS FL
33410-4311
US
IV. Provider business mailing address
831 BEDFORD AVE STE 497
BROOKLYN NY
11205-2801
US
V. Phone/Fax
- Phone: 347-667-7924
- Fax: 332-262-2396
- Phone: 347-667-7924
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MAHMOOD
MEHDI
KAZMI
Title or Position: OWNER
Credential:
Phone: 347-667-7924