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General NPI Number Information
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NPI Number | 1003627944
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Entity Type | Organization
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Legal Business Name | FLEX 4 MEDICAL CENTER, CORP
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2221 N UNIVERSITY DR STE D
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3603
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Country | US
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Telephone | 561-560-7373
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Fax | 561-300-2943
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Provider Business Mailing Address
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Address Line | PO BOX 473396
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City | MIAMI
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State | FL
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Zip | 33247-3396
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | TRENISE U BENNETT
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Credential |
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Telephone | 786-440-6787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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