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General NPI Number Information
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NPI Number | 1245817725
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Entity Type | Organization
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Legal Business Name | COTS MEDICAL GROUP CORP
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 7500 SW 8TH ST STE 202
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City | CORAL GABLES
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State | FL
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Zip | 33144-4400
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Country | US
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Telephone | 786-558-9009
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Fax | 786-332-4361
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Provider Business Mailing Address
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Address Line | 7500 SW 8TH ST STE 202
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City | MIAMI
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State | FL
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Zip | 33144-4400
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Country | US
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Telephone | 786-558-9009
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Fax | 786-332-4361
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Authorized Official
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Title or Position | OWNER
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Name | UVALDO GONZALEZ
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Credential |
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Telephone | 305-218-1628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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