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General NPI Number Information
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NPI Number | 1225020902
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Entity Type | Organization
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Legal Business Name | ATLANTIS PRO MED INC
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8215 NW 64TH ST BAY 2
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City | MIAMI
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State | FL
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Zip | 33166-2767
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Country | US
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Telephone | 877-477-2764
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Fax | 877-276-5431
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Provider Business Mailing Address
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Address Line | 8215 NW 64TH ST BAY 2
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City | MIAMI
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State | FL
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Zip | 33166-2767
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Country | US
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Telephone | 877-477-2764
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Fax | 877-276-5431
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Authorized Official
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Title or Position | C.F.O
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Name | MR. RICARDO AGUERA
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Credential |
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Telephone | 305-477-5430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | ORF 122
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1928
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License Number State | FL
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