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General NPI Number Information
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NPI Number | 1093255820
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA INTEGRATIVE HEALTH CENTER LLC
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 210 71ST ST STE 306
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3235
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Country | US
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Telephone | 305-799-1263
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Fax |
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Provider Business Mailing Address
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Address Line | 9225 COLLINS AVE PENTHOUSE G
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City | SURFSIDE
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State | FL
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Zip | 33154-3046
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Country | US
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Telephone | 305-799-1263
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DURRELL D HANDWERGER
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Credential | APRN
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Telephone | 305-799-1263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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