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General NPI Number Information
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NPI Number | 1174170104
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Entity Type | Organization
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Legal Business Name | DR MICHEL BORMEY GARCIA PA
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 3750 W 16TH AVE STE 238U
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City | HIALEAH
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State | FL
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Zip | 33012-4665
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Country | US
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Telephone | 786-398-1669
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Fax |
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Provider Business Mailing Address
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Address Line | 3725 W FLAGLER ST # 301
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City | CORAL GABLES
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State | FL
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Zip | 33134-1601
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Country | US
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Telephone | 786-398-1669
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MICHEL BORMEY GARCIA
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Credential | MD
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Telephone | 786-398-1669
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 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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