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General NPI Number Information
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NPI Number | 1205054483
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA PUL,MONARY AND CRITICAL CARE
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3181 CORAL WAY 1ST FLOOR
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City | CORAL GABLES
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State | FL
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Zip | 33145-3216
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Country | US
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Telephone | 305-567-1999
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Fax | 305-567-9309
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Provider Business Mailing Address
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Address Line | 3181 CORAL WAY 1ST FLOOR
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City | CORAL GABLES
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State | FL
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Zip | 33145-3216
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Country | US
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Telephone | 305-567-1999
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Fax | 305-567-9309
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDRES A REDONDO
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Credential | MD
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Telephone | 305-567-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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