MEDICARE: DENISE ERDEM 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
1	207R00000X	Internal Medicine Physician	ME81823	FL

General Provider Information

NPI Number	:	1881680908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE ERDEM MD

Provider Business Mailing Address
First Line	:	5900 SW 114TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-5031
Country	:	US
Telephone Number	:	305-666-2676
Fax Number	:	305-666-3196

Provider Business Practice Location Address
First Line	:	2030 S DOUGLAS RD
Second Line	:	SUITE # 201
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4615
Country	:	US
Telephone Number	:	305-666-2676
Fax Number	:	305-666-3196

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

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	11/14/2007

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