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NPI 1225983240

NPI 1225983240 : SPHERE MEDICAL OF FLORIDA, LLC : SUNNY ISLES BEACH, FL

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General NPI Number Information
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    NPI Number           |    1225983240
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPHERE MEDICAL OF FLORIDA, LLC 
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Dates
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    Enumeration Date     |    03/04/2026
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    Last Update Date     |    03/04/2026
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Provider Practice Location Address
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    Address Line         |    16690 COLLINS AVE STE 1102 
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    City                 |    SUNNY ISLES BEACH
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    State                |    FL
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    Zip                  |    33160-5687
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    Country              |    US
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    Telephone            |    480-310-1534
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    Fax                  |    480-314-9494
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Provider Business Mailing Address
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    Address Line         |    16690 COLLINS AVE STE 1102 
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    City                 |    SUNNY ISLES BEACH
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    State                |    FL
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    Zip                  |    33160-5687
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    Country              |    US
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    Telephone            |    480-310-1534
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    Fax                  |    480-314-9494
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     RICHARD  SHAPIRO 
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    Credential           |    CPA
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    Telephone            |    480-310-1534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QC1800X
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    Taxonomy Name        |    Corporate Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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