Porudominsky, David

Porudominsky, David is an individual health care provider with primary practice located at 2825 N State Road 7 Ste 300, Margate FL 33063-5737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Porudominsky, David can be contacted via phone (954) 975-0350.

Contact Information

Primary practice address
2825 N State Road 7 Ste 300 Margate FL 33063-5737
Phone: (954) 975-0350
Fax: (954) 975-3465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0045569 Florida

Profile Details

NPI number 1013993500
LBN Legal business name Porudominsky, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated May 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013993500 NPPES
Florida MEDICAID 049740100
Florida Other 002661
Florida Other 61413
Florida Other 008272
Florida Other 0163188

Popular Providers