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General NPI Number Information
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NPI Number | 1336229541
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Entity Type | Organization
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Legal Business Name | FLAGLER DIAGNOSTIC CENTER INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 8000 W FLAGLER ST SUITE 101
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City | MIAMI
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State | FL
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Zip | 33144-2153
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Country | US
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Telephone | 305-266-7300
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Fax | 305-675-3627
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Provider Business Mailing Address
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Address Line | PO BOX 160608
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City | MIAMI
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State | FL
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Zip | 33116-0608
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Country | US
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Telephone | 305-279-7275
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Fax | 786-219-2908
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Authorized Official
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Title or Position | CEO
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Name | ALVARO GARCIA VILLEGAS
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Credential |
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Telephone | 305-279-7275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State | FL
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