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General NPI Number Information
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NPI Number | 1215029921
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Entity Type | Organization
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Legal Business Name | MIAMI FAMILY MEDICAL CENTER INC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10146 WEST FLAGLER STREET
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City | MIAMI
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State | FL
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Zip | 33174
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Country | US
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Telephone | 305-553-2020
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Fax | 305-553-2010
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Provider Business Mailing Address
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Address Line | 10146 WEST FLAGLER STREET
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City | MIAMI
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State | FL
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Zip | 33174
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Country | US
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Telephone | 305-553-2020
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Fax | 305-553-2010
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Authorized Official
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Title or Position | MANAGER
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Name | JOSE BARQUERO
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Credential |
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Telephone | 786-586-5787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0038894
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License Number State | FL
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