Dr Michael a Dundr MD LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME107505 Issued in FL

Legal business name

DR MICHAEL A DUNDR MD LLC

Practice address

3065 New York St
Miami, FL 33133-4325

Phone

(305) 877-1401

NPI assigned

Mar 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Albert Dundr, M.D.

Title

President

Phone

(305) 877-1401

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1285933382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 NEW YORK ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334325",
            "telephone_number": "305-877-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 NEW YORK ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334325",
            "telephone_number": "305-877-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL A DUNDR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "DUNDR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-877-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME107505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.