MEDICARE: SOUTH FLORIDA PUL,MONARY AND CRITICAL CARE

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	207K00000X	Allergy & Immunology Physician

General Provider Information

NPI Number	:	1205054483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA PUL,MONARY AND CRITICAL CARE

Provider Business Mailing Address
First Line	:	3181 CORAL WAY
Second Line	:	1ST FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3216
Country	:	US
Telephone Number	:	305-567-1999
Fax Number	:	305-567-9309

Provider Business Practice Location Address
First Line	:	3181 CORAL WAY
Second Line	:	1ST FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3216
Country	:	US
Telephone Number	:	305-567-1999
Fax Number	:	305-567-9309

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANDRES A REDONDO
Credential	:	MD
Telephone Number	:	305-567-1999

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	08/22/2020

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