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General NPI Number Information
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NPI Number | 1356664932
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE CARDIOVASCULAR CARE PA
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Dates
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Enumeration Date | 03/10/2010
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 3011 NE 40TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5829
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Country | US
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Telephone | 954-547-2925
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Fax |
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Provider Business Mailing Address
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Address Line | 3011 NE 40TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5829
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Country | US
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Telephone | 954-547-2925
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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. JOEL GELLMAN
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Credential | M.D.
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Telephone | 954-547-2925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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