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General NPI Number Information
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NPI Number | 1275298481
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Entity Type | Organization
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Legal Business Name | MAXCURE MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 9025 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6440
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Country | US
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Telephone | 954-417-0003
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Fax | 786-362-5104
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Provider Business Mailing Address
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Address Line | 9025 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6440
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Country | US
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Telephone | 954-417-0003
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Fax | 954-417-0004
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Authorized Official
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Title or Position | MANAGER
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Name | MICHEL CASTILLO MADRIGAL
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Credential | APRN
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Telephone | 786-394-0632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) 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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084S0010X
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Taxonomy Name | Sports Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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