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General NPI Number Information
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NPI Number | 1134673411
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Entity Type | Organization
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Legal Business Name | LA FAMILIA MEDICAL CENTER INC
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2199 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33135-1638
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Country | US
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Telephone | 305-643-0550
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Fax | 305-643-0551
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Provider Business Mailing Address
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Address Line | 2199 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33135-1638
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Country | US
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Telephone | 305-643-0550
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Fax | 305-643-0551
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ALLAN J GUTIERREZ
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Credential |
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Telephone | 305-643-0550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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