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General NPI Number Information
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NPI Number | 1205057510
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Entity Type | Organization
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Legal Business Name | SOUTH DADE MEDICAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18479 S DIXIE HWY # 81
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City | MIAMI
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State | FL
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Zip | 33157-6815
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Country | US
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Telephone | 786-573-9400
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Fax | 786-573-0824
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Provider Business Mailing Address
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Address Line | 4960 SW 72ND AVE SUITE 406
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City | MIAMI
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State | FL
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Zip | 33155-5544
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Country | US
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Telephone | 305-662-5200
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Fax | 305-284-7948
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE J ARMAS
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Credential | MD
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Telephone | 305-662-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME44344
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License Number State | FL
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