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General NPI Number Information
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NPI Number | 1285175125
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA PHYSIATRY LLC
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Dates
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Enumeration Date | 03/11/2017
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 9400 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-1434
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Country | US
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Telephone | 305-487-3040
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Fax | 888-929-8436
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Provider Business Mailing Address
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Address Line | 1755 SW 12TH ST
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City | MIAMI
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State | FL
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Zip | 33135-5115
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Country | US
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Telephone | 305-677-3541
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Fax | 888-929-8436
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Authorized Official
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Title or Position | MGR
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Name | CARLA M VELEZ-COUTO
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Credential |
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Telephone | 305-677-3541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME110485
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License Number State | FL
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