MEDICARE: DR. ERNESTO L SARDUY DNP, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11010649	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023604022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERNESTO L SARDUY DNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	8950 SW 74TH CT STE 1911
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-3178
Country	:	US
Telephone Number	:	305-842-2283
Fax Number	:	305-503-7338

Provider Business Practice Location Address
First Line	:	8950 SW 74TH CT STE 1911
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-3178
Country	:	US
Telephone Number	:	305-842-2283
Fax Number	:	305-503-7338

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2020
Last Update Date	:	09/04/2025

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