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General NPI Number Information
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NPI Number | 1104932060
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Entity Type | Organization
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Legal Business Name | ALCA MEDICAL CENTER PA
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 7000 SW 97TH AVE STE 210
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-284-8483
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Fax | 305-284-8432
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Provider Business Mailing Address
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Address Line | 7000 SW 97TH AVE STE 210
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-284-8483
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Fax | 305-284-8432
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | EDDIE ARMAS
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Credential | MD
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Telephone | 305-284-8483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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