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General NPI Number Information
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NPI Number | 1154730653
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA URGENT CARE & ORTHOPAEDIC GROUP, INC
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 2121 W OAKLAND PARK BLVD SUITE 8
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1529
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Country | US
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Telephone | 954-900-4443
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Fax | 954-533-5994
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Provider Business Mailing Address
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Address Line | 2121 W OAKLAND PARK BLVD SUITE 8
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1529
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Country | US
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Telephone | 954-900-4443
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Fax | 954-533-5994
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRUCE KAMMERMAN
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Credential | M.D.
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Telephone | 954-900-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME16281
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME76259
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License Number State | FL
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