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General NPI Number Information
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NPI Number | 1104689520
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Entity Type | Organization
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Legal Business Name | INFINITY HEALTH CENTER LLC
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 5511 S CONGRESS AVE STE 101
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City | ATLANTIS
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State | FL
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Zip | 33462-1140
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Country | US
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Telephone | 561-541-5762
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Fax |
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Provider Business Mailing Address
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Address Line | 5511 S CONGRESS AVE STE 101
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City | ATLANTIS
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State | FL
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Zip | 33462-1140
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Country | US
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Telephone | 561-541-5762
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUAN CARLOS CRUZ
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Credential |
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Telephone | 561-541-5762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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