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General NPI Number Information
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NPI Number | 1235844465
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Entity Type | Organization
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Legal Business Name | PIRIS MEDICAL CENTER LLC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 13335 SW 124TH ST STE 204
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City | MIAMI
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State | FL
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Zip | 33186-7515
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Country | US
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Telephone | 786-671-8749
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Fax |
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Provider Business Mailing Address
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Address Line | 13335 SW 124TH ST STE 204
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City | MIAMI
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State | FL
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Zip | 33186-7515
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Country | US
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Telephone | 786-671-8749
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERNESTO PIRIS
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Credential |
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Telephone | 305-720-0948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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