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NPI Code Detail

MEDICARE: DR. G PATRICIA CANTWELL MD

MEDICARE:  DR. G PATRICIA CANTWELL  MD
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
12080H0002XPediatric Hospice and Palliative Medicine PhysicianME47249FL
22080P0203XPediatric Critical Care Medicine PhysicianME47249FL

Other Identifiers

General Provider Information

NPI Number : 1316974066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. G PATRICIA CANTWELL MD
Provider Business Mailing Address
First Line : 1601 NW 12TH AVE
Second Line : BOX 016960 M851
City : MIAMI
State : FL
Zip : 33101-6960
Country : US
Telephone Number : 305-243-4029
Fax Number : 305-243-8470
Provider Business Practice Location Address
First Line : 1601 NW 12TH AVE
Second Line : BOX 016960 M851
City : MIAMI
State : FL
Zip : 33101-6960
Country : US
Telephone Number : 305-243-4029
Fax Number : 305-243-8470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 07/13/2021

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Directions to “ DR. G PATRICIA CANTWELL MD” Practice Location

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