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General NPI Number Information
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NPI Number | 1033788831
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA MEDICAL PRACTICE LLC
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Dates
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Enumeration Date | 06/24/2021
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 3475 SHERIDAN STREET STE 101
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-595-6850
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Fax | 954-900-3634
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Provider Business Mailing Address
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Address Line | 3475 SHERIDAN STREET STE 101
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-595-6850
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Fax | 954-900-3634
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Authorized Official
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Title or Position | OWNER
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Name | MRS. INNA SLOVESNIK
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Credential |
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Telephone | 917-626-3576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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