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General NPI Number Information
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NPI Number | 1013175074
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA INTERNISTS GROUP PA
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 2828 SW 22ND ST STE 309
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City | MIAMI
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State | FL
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Zip | 33145-3214
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Country | US
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Telephone | 786-409-2407
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Fax | 877-809-5936
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Provider Business Mailing Address
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Address Line | 2828 SW 22ND ST STE 309
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City | MIAMI
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State | FL
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Zip | 33145-3214
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Country | US
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Telephone | 786-409-2407
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Fax | 877-809-5936
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MAYELIN ALDEBOT
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Credential |
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Telephone | 786-623-6490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS8492
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License Number State | FL
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