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General NPI Number Information
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NPI Number | 1114585643
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Entity Type | Organization
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Legal Business Name | SUNSOUTH HEALTH CENTERS SOUTH FLORIDA, LLC
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 1901 NW 17TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-1513
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Country | US
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Telephone | 305-925-0009
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Fax | 305-697-0009
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Provider Business Mailing Address
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Address Line | 14255 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-6408
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Country | US
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Telephone | 305-306-3400
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CARLOS ARIAS
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Credential |
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Telephone | 407-558-1872
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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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