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General NPI Number Information
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NPI Number | 1346327848
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Entity Type | Organization
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Legal Business Name | SMC MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 11373 SW 211TH ST STE 16
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City | MIAMI
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State | FL
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Zip | 33189-2247
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Country | US
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Telephone | 305-234-0009
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Fax | 305-234-8688
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Provider Business Mailing Address
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Address Line | 9780 E INDIGO ST STE 202
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5610
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Country | US
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Telephone | 305-252-9485
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Fax | 305-252-9486
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAYMOND LEVY
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Credential |
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Telephone | 305-252-9485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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