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General NPI Number Information
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NPI Number | 1073894101
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Entity Type | Organization
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Legal Business Name | MIAMI NEUROSCIENCE CENTER LLC
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 6129 SW 70TH ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3451
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Country | US
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Telephone | 786-871-6800
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Fax | 786-871-6801
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Provider Business Mailing Address
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Address Line | 6129 SW 70TH ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3451
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Country | US
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Telephone | 786-871-6800
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Fax | 786-871-6801
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Authorized Official
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Title or Position | CEO
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Name | NICHOLAS DANIEL TORRES
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Credential |
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Telephone | 305-284-7595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology 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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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