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NPI 1083036396

NPI 1083036396 : BEACH MEDICAL ASSOCIATES INC. : MIAMI BEACH, FL

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General NPI Number Information
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    NPI Number           |    1083036396
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEACH MEDICAL ASSOCIATES INC. 
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Dates
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    Enumeration Date     |    01/07/2014
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    Last Update Date     |    03/12/2014
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Provider Practice Location Address
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    Address Line         |    4308 ALTON ROAD SUITE 860
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    City                 |    MIAMI BEACH
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    State                |    FL
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    Zip                  |    33140
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    Country              |    US
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    Telephone            |    305-604-2888
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    Fax                  |    305-604-2887
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Provider Business Mailing Address
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    Address Line         |    4308 ALTON ROAD SUITE 860
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    City                 |    MIAMI BEACH
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    State                |    FL
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    Zip                  |    33140
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    Country              |    US
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    Telephone            |    305-604-2888
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    Fax                  |    305-604-2887
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     GARY JOSEPH MERLINO 
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    Credential           |    D.O.
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    Telephone            |    305-604-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    OS11420
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    ME84124
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    ME116150
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    ME112402
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    License Number State |    FL
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Taxonomy #5
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    ME109832
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    License Number State |    FL
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Taxonomy #6
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    OS115888
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    License Number State |    FL
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Taxonomy #7
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    ME94949
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    License Number State |    FL
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