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General NPI Number Information
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NPI Number | 1245909449
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Entity Type | Organization
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Legal Business Name | EMERGENT PHYSICIANS OF DORAL, LLC
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 9520 NW 58 ST
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City | MIAMI
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State | FL
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Zip | 33178
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Country | US
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Telephone | 786-662-8101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 162787
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-2787
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Country | US
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Telephone | 786-888-8820
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Fax | 786-591-6025
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GABRIELA PICADO
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Credential |
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Telephone | 786-888-8820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) 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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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