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General NPI Number Information
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NPI Number | 1205657624
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Entity Type | Organization
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Legal Business Name | PASTEUR & WELLMAX MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 5740 NW 183RD ST
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City | HIALEAH
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State | FL
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Zip | 33015-6021
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Country | US
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Telephone | 305-722-8565
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Fax | 305-722-8561
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Provider Business Mailing Address
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Address Line | 6355 SW 36 AVE EAST BUILDING, STE 1100
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166
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Country | US
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Telephone | 786-233-6981
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Fax | 786-322-2317
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JORGE RAAD
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Credential |
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Telephone | 786-233-6981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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