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General NPI Number Information
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NPI Number | 1275770323
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Entity Type | Organization
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Legal Business Name | MANUEL PEREZ-ESPINOSA MD PA
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 3600 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33135-1030
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Country | US
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Telephone | 305-444-4520
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Fax | 305-445-6437
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Provider Business Mailing Address
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Address Line | 3600 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33135-1030
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Country | US
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Telephone | 305-823-8732
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Fax | 305-445-6437
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUAN CARLOS PEREZ-ESPINOSA
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Credential | DO
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Telephone | 305-401-8816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME23805
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License Number State | FL
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Taxonomy #2
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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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