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NPI 1043008501

NPI 1043008501 : NEOVIDA MEDICENTER INC : CUTLER BAY, FL

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General NPI Number Information
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    NPI Number           |    1043008501
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEOVIDA MEDICENTER INC 
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Dates
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    Enumeration Date     |    04/25/2025
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    18710 SW 107TH AVE UNIT 15 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33157-6750
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    Country              |    US
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    Telephone            |    786-459-9945
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    Fax                  |    786-798-8997
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Provider Business Mailing Address
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    Address Line         |    18710 SW 107TH AVE UNIT 15 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33157-6750
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    Country              |    US
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    Telephone            |    786-459-9945
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    Fax                  |    786-798-8997
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ARIAN J BARRIO MOREIRA 
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    Credential           |    
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    Telephone            |    786-459-9945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics 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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207K00000X
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    Taxonomy Name        |    Allergy & Immunology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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