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General NPI Number Information
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NPI Number | 1063462703
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PRIMARY CARE
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 4302 ALTON RD SUITE 900
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2891
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Country | US
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Telephone | 305-534-4888
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Fax | 305-675-2788
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Provider Business Mailing Address
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Address Line | 4302 ALTON RD SUITE 900
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2891
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Country | US
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Telephone | 305-534-4888
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Fax | 305-675-2788
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Authorized Official
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Title or Position | CO PRESIDENT
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Name | DR. ANTONIO FERNANDEZ
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Credential | M.D.
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Telephone | 305-532-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | FL
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