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General NPI Number Information
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NPI Number | 1174914006
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Entity Type | Organization
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Legal Business Name | METCARE OF FLORIDA INC.
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 349 NW 16TH ST SUITE 104
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City | BELLE GLADE
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State | FL
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Zip | 33430-2839
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Country | US
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Telephone | 561-996-1990
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Fax | 561-996-9355
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 305-500-2000
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR
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Name | JESSICA BONETTI
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Credential |
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Telephone | 305-500-2000
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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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