MEDICARE: DR. EUFEMIANO R L CARDOSO 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	174400000X	Specialist	ME84377	FL

General Provider Information

NPI Number	:	1972558468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUFEMIANO R L CARDOSO MD

Provider Business Mailing Address
First Line	:	2750 SW 37TH AVE
Second Line	:
City	:	COCONUT GROVE
State	:	FL
Zip	:	33133-2764
Country	:	US
Telephone Number	:	305-642-4263
Fax Number	:	305-426-3329

Provider Business Practice Location Address
First Line	:	2750 SW 37TH AVE
Second Line	:
City	:	COCONUT GROVE
State	:	FL
Zip	:	33133-2764
Country	:	US
Telephone Number	:	305-642-4263
Fax Number	:	305-426-3329

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	06/13/2011

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