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General NPI Number Information
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NPI Number | 1093665341
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Entity Type | Organization
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Legal Business Name | S & S PRIMARY CARE CENTER CORP
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 14411 COMMERCE WAY STE 330
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1577
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Country | US
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Telephone | 305-450-9301
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Fax | 757-842-8692
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Provider Business Mailing Address
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Address Line | 14411 COMMERCE WAY STE 330
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1577
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Country | US
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Telephone | 305-450-9301
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Fax | 757-842-8692
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ORLANDO GONZALEZ MAURA
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Credential |
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Telephone | 305-450-9301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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