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General NPI Number Information
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NPI Number | 1154279628
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Entity Type | Organization
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Legal Business Name | OCELOT MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 8726 NW 26TH ST STE 20
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City | DORAL
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State | FL
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Zip | 33172-1629
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Country | US
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Telephone | 786-541-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 W 60TH ST APT 4
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City | HIALEAH
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State | FL
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Zip | 33012-6809
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Country | US
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Telephone | 786-541-3773
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | MICHAEL GOMEZ
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Credential | APRN
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Telephone | 786-541-3773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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