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General NPI Number Information
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NPI Number | 1093025850
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Entity Type | Organization
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Legal Business Name | MIAMI COMFORT COVE INC.
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 3511 NW 11TH CT.
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City | MIAMI
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State | FL
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Zip | 33127
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Country | US
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Telephone | 305-637-9993
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Fax | 305-637-9987
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Provider Business Mailing Address
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Address Line | 3511 NW 11TH CT.
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City | MIAMI
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State | FL
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Zip | 33127
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Country | US
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Telephone | 305-637-9993
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Fax | 305-637-9987
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Authorized Official
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Title or Position | OWNER
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Name | OSCAR CALZADO
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Credential |
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Telephone | 786-447-3974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL11869
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License Number State | FL
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