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General NPI Number Information
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NPI Number | 1043209786
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Entity Type | Organization
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Legal Business Name | IFA MEDICAL CENTER INC
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Dates
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Enumeration Date | 10/15/2005
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 1695 SW 107TH AVE SUITE 201
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City | MIAMI
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State | FL
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Zip | 33165-7344
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Country | US
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Telephone | 305-207-4443
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Fax | 305-207-4442
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Provider Business Mailing Address
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Address Line | 1695 SW 107TH AVE SUITE 201
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City | MIAMI
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State | FL
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Zip | 33165-7344
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Country | US
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Telephone | 305-207-4443
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Fax | 305-207-4442
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ELIEZER GONZALEZ
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Credential |
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Telephone | 305-207-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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