Provider Demographics
NPI:1992062558
Name:MARCELO BENDIX MD PA
Entity type:Organization
Organization Name:MARCELO BENDIX MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCELO
Authorized Official - Middle Name:
Authorized Official - Last Name:BENDIX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-582-7086
Mailing Address - Street 1:7821 SW 54TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5724
Mailing Address - Country:US
Mailing Address - Phone:305-582-7086
Mailing Address - Fax:305-225-6616
Practice Address - Street 1:11760 SW 40TH ST STE 642
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8103
Practice Address - Country:US
Practice Address - Phone:305-553-6744
Practice Address - Fax:305-225-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55830207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty