MEDICARE: BARDOS FERTILITY 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	207VE0102X	Reproductive Endocrinology Physician

General Provider Information

NPI Number	:	1144102377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARDOS FERTILITY LLC

Provider Business Mailing Address
First Line	:	1108 KANE CONCOURSE STE 225
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-2069
Country	:	US
Telephone Number	:	305-482-3813
Fax Number	:

Provider Business Practice Location Address
First Line	:	1108 KANE CONCOURSE STE 225
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-2069
Country	:	US
Telephone Number	:	305-482-3813
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JONAH BARDOS
Credential	:	MD
Telephone Number	:	305-482-3813

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	07/21/2025

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