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General NPI Number Information
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NPI Number | 1104742014
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Entity Type | Organization
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Legal Business Name | MIC INFUSION INC
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 15600 SW 288TH ST STE 210
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City | HOMESTEAD
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State | FL
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Zip | 33033-1249
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Country | US
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Telephone | 305-209-4994
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Fax |
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Provider Business Mailing Address
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Address Line | 543 NW 3RD ST
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City | FLORIDA CITY
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State | FL
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Zip | 33034-3205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. GABRIELA LORELEITH NARVAEZ-ACOSTA
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Credential |
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Telephone | 305-797-4042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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