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General NPI Number Information
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NPI Number | 1104921550
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Entity Type | Individual
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Provider Name | ISIDRO ANTHONY CARDELLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 7300 SW 93RD AVE SUITE 200
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City | MIAMI
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State | FL
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Zip | 33173-5200
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Country | US
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Telephone | 305-971-0510
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Fax | 305-663-5929
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Provider Business Mailing Address
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Address Line | 7300 SW 93RD AVE SUITE 200
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-971-0510
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Fax | 305-663-5929
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME0056177
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License Number State | FL
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