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General NPI Number Information
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NPI Number | 1184196958
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Entity Type | Organization
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Legal Business Name | ENDOCRINOLOGY CONSULTANTS OF SOUTH FLORIDA PLLC
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 2901 CORAL HILLS DR STE 330
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4165
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Country | US
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Telephone | 954-998-2144
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Fax | 954-252-4228
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Provider Business Mailing Address
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Address Line | 2901 CORAL HILLS DR STE 330
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4165
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Country | US
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Telephone | 954-998-2144
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Fax | 954-252-4228
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Authorized Official
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Title or Position | OWNER
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Name | CARMEN V VILLABONA
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Credential | MD
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Telephone | 312-307-4488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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