MEDICARE: BIDART HEALTH SERVICES, LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1063355352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIDART HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	1541 BRICKELL AVE APT B2603
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-3108
Country	:	US
Telephone Number	:	786-587-4476
Fax Number	:	786-431-2550

Provider Business Practice Location Address
First Line	:	1541 BRICKELL AVE APT B2603
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-3108
Country	:	US
Telephone Number	:	786-587-4476
Fax Number	:	786-431-2550

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. PATRICIO MAURO BIDART
Credential	:
Telephone Number	:	786-587-4476

Provider Enumeration Date	:	04/11/2026
Last Update Date	:	04/11/2026

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