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General NPI Number Information
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NPI Number | 1275101537
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Entity Type | Individual
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Provider Name | JOSE HUMBERTO SUAREZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 2500 SW 75TH AVE STE 205
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City | MIAMI
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State | FL
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Zip | 33155-2805
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Country | US
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Telephone | 305-264-5252
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Fax | 305-267-6920
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Provider Business Mailing Address
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Address Line | 3001 CORAL HILLS DR STE 320
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4172
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Country | US
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Telephone | 305-833-5969
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME164255
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License Number State | FL
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