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General NPI Number Information
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NPI Number | 1275200537
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Entity Type | Organization
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Legal Business Name | EMERGENT PHYSICIANS OF WEST DADE, LLC
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 14591 SW 26TH ST
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City | MIAMI
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State | FL
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Zip | 33175-8038
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Country | US
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Telephone | 786-595-3400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 161624
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-1624
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Country | US
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Telephone | 786-888-8820
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Fax |
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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 | 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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