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General NPI Number Information
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NPI Number | 1285904482
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Entity Type | Organization
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Legal Business Name | ALAN SERURE, MD, PA.
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 7300 SW 62ND PL SUITE 200
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4806
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Country | US
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Telephone | 305-669-0184
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Fax |
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Provider Business Mailing Address
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Address Line | 7300 SW 62ND PL SUITE 200
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4806
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Country | US
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Telephone | 305-669-0184
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN SCOTT SERURE
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Credential | M.D.
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Telephone | 305-669-0184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | ME37423
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License Number State | FL
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