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General NPI Number Information
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NPI Number | 1083092746
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Entity Type | Organization
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Legal Business Name | FLORIDA GOOD FAITH INVESTORS LLC.
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 1001 N FEDERAL HWY,STE 246 SUITE 349
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009
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Country | US
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Telephone | 754-204-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 N FEDERAL HWY STE 246
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2408
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Country | US
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Telephone | 754-204-4200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVAH GERMAIN
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Credential |
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Telephone | 754-204-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 10-109
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License Number State | FL
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