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NPI 1013246016

NPI 1013246016 : JEAN PIERRE AWAIDA MD PA : DELRAY BEACH, FL

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General NPI Number Information
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    NPI Number           |    1013246016
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    Entity Type          |    Organization 
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    Legal Business Name  |    JEAN PIERRE AWAIDA MD PA 
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Dates
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    Enumeration Date     |    12/22/2009
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    5162 LINTON BLVD STE 102 
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    City                 |    DELRAY BEACH
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    State                |    FL
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    Zip                  |    33484-6567
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    Country              |    US
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    Telephone            |    561-499-3919
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    Fax                  |    561-499-3919
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Provider Business Mailing Address
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    Address Line         |    5162 LINTON BLVD STE 102 
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    City                 |    DELRAY BEACH
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    State                |    FL
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    Zip                  |    33484-6567
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    Country              |    US
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    Telephone            |    561-499-3919
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    Fax                  |    561-499-4338
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JEAN-PIERRE STEPHAN AWAIDA 
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    Credential           |    M.D.
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    Telephone            |    561-445-5896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    ME101406
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    License Number State |    FL
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