Basic Information
Provider Information
NPI: 1679997142
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAVALCANTE
FirstName: LUDIMILA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9350 SUNSET DR STE 200
Address2:  
City: MIAMI
State: FL
PostalCode: 331733245
CountryCode: US
TelephoneNumber: 7865944210
FaxNumber:  
Practice Location
Address1: 8900 N. KENDALL DR
Address2: MIAMI CANCER INSTITUTE
City: MIAMI
State: FL
PostalCode: 33176
CountryCode: US
TelephoneNumber: 7865962000
FaxNumber: 3052797778
Other Information
ProviderEnumerationDate: 02/04/2014
LastUpdateDate: 04/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD61152299WAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0000XMD61152299VAN Allopathic & Osteopathic PhysiciansInternal MedicineHematology
207RX0202XME134561FLN Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
207RX0202XMD61152299WAN Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
207RX0202X90944GAY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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