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General NPI Number Information
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NPI Number | 1144408642
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA MEDICAL ASSOC PA
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 3800 S OCEAN DR 230
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2927
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Country | US
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Telephone | 954-455-9700
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Fax | 305-455-9766
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Provider Business Mailing Address
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Address Line | 3800 S OCEAN DR 230
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2927
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Country | US
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Telephone | 954-455-9700
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Fax | 305-455-9766
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EMANUEL NACCARATO
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Credential | MD
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Telephone | 305-937-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME53968
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License Number State | FL
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