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General NPI Number Information
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NPI Number | 1316817315
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Entity Type | Organization
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Legal Business Name | JDJ OF MIAMI , INC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 8446 S DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33143-7804
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Country | US
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Telephone | 305-933-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 8446 S DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33143-7804
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Country | US
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Telephone | 305-933-3232
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. CHARLES GOLDSMITH
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Credential | ME22351
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Telephone | 786-553-0553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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