Eduardo Kofman MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME84340 Issued in FL

Legal business name

EDUARDO KOFMAN MD PA

Practice address

12550 Biscayne Blvd
Suite 600
North Miami, FL 33181-2541

Phone

(305) 892-3101

Fax

(309) 892-3103

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Eduardo Kofman, MD

Title

President

Phone

(305) 892-3101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1639344880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD",
            "address_2": "SUITE 600",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812541",
            "telephone_number": "305-892-3101",
            "fax_number": "309-892-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD",
            "address_2": "SUITE 600",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812541",
            "telephone_number": "305-892-3101",
            "fax_number": "309-892-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO KOFMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "KOFMAN",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-892-3101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME84340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "37126",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in North Miami, FL
• Providers in North Miami, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.