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General NPI Number Information
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NPI Number | 1215220967
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Entity Type | Organization
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Legal Business Name | FLORIDA INTERNAL MEDICINE ASSOCIATES
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 1899 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1401
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Country | US
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Telephone | 954-725-7291
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Fax | 954-708-2553
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Provider Business Mailing Address
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Address Line | 1899 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1401
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Country | US
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Telephone | 954-725-7291
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Fax | 954-708-2553
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SANDRA SAINT-ELOI
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Credential | ARNP
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Telephone | 954-725-7291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | FL
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