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NPI Code Detail

MEDICARE: TAKIFHU ASSOCIATES LLC

MEDICARE: TAKIFHU ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1073870333
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAKIFHU ASSOCIATES LLC
Provider Business Mailing Address
First Line : 12221 W DIXIE HWY
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12221 W DIXIE HWY
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5427
Country : US
Telephone Number : 305-255-1045
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : GEORGE FERNANDEZ
Credential :
Telephone Number : 305-255-1045
Provider Enumeration Date : 04/11/2012
Last Update Date : 06/07/2013

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Directions to “TAKIFHU ASSOCIATES LLC ” Practice Location

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