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General NPI Number Information
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NPI Number | 1205373859
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Entity Type | Individual
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Provider Name | MIGUEL A SERRADET
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Gender | Male
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2695 LEUNE ROAD SUITE 300
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City | MIAMI
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-446-0330
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Fax | 305-445-3267
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Provider Business Mailing Address
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Address Line | 14920 SW 63RD ST
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City | MIAMI
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State | FL
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Zip | 33193-2751
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Country | US
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Telephone | 786-712-1205
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9274031
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-26-87386
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License Number State | FL
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