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General NPI Number Information
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NPI Number | 1356513857
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Entity Type | Organization
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Legal Business Name | CARLOS J LAVERNIA MD PA
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 2600 SW 3RD AVE STE 600
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City | MIAMI
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State | FL
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Zip | 33129-2338
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Country | US
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Telephone | 305-484-9727
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Fax | 786-667-8723
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Provider Business Mailing Address
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Address Line | PO BOX 141028
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City | CORAL GABLES
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State | FL
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Zip | 33114-1028
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Country | US
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Telephone | 305-773-3088
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLOS JESUS LAVERNIA
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Credential | MD
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Telephone | 305-484-9727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME0062590
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License Number State | FL
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