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General NPI Number Information
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NPI Number | 1013020148
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Entity Type | Organization
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Legal Business Name | MAXIMUM MEDICAL CARE INC.
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6565 TAFT ST SUITE 401
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City | HOLLYWOOD
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State | FL
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Zip | 33024-4002
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Country | US
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Telephone | 954-987-1208
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Fax | 954-987-1209
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Provider Business Mailing Address
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Address Line | 6565 TAFT ST SUITE 401
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City | HOLLYWOOD
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State | FL
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Zip | 33024-4002
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Country | US
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Telephone | 954-987-1208
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Fax | 954-987-1209
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAFAEL GONZALEZ
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Credential |
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Telephone | 954-987-1208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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