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General NPI Number Information
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NPI Number | 1083555601
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Entity Type | Organization
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Legal Business Name | FORT LAUDERDALE OPEN DIAGNOSTIC CENTER LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 2425 E COMMERCIAL BLVD STE 103
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4060
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Country | US
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Telephone | 305-300-1093
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Fax |
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Provider Business Mailing Address
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Address Line | 2425 E COMMERCIAL BLVD STE 103
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4060
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Country | US
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Telephone | 305-300-1093
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MONICA ALFONZO
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Credential |
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Telephone | 786-452-9230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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