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General NPI Number Information
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NPI Number | 1255542957
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Entity Type | Organization
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Legal Business Name | SOUTH BROWARD WOMENS CARE
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 599 S FEDERAL HWY
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City | DANIA
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State | FL
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Zip | 33004-4107
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Country | US
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Telephone | 954-927-2752
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Fax | 954-927-6701
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Provider Business Mailing Address
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Address Line | 16215 NE 18TH CT
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4802
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Country | US
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Telephone | 954-927-2752
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Fax | 954-927-6701
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELIE DUMENY
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Credential | MD
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Telephone | 305-927-2752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0069459
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License Number State | FL
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