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NPI 1366478059

NPI 1366478059 : MARGARITA LERMO MD PA : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1366478059
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARGARITA LERMO MD PA 
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Dates
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    Enumeration Date     |    06/24/2006
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    Last Update Date     |    07/01/2009
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Provider Practice Location Address
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    Address Line         |    7821 CORAL WAY SUITE 121
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33155-6542
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    Country              |    US
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    Telephone            |    305-446-1900
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    Fax                  |    305-446-1080
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Provider Business Mailing Address
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    Address Line         |    PO BOX 558926 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33255-8926
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    Country              |    US
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    Telephone            |    
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    Fax                  |    305-262-6426
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     MARGARITA  LERMO 
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    Credential           |    MD
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    Telephone            |    305-446-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0805X
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    Taxonomy Name        |    Geriatric Psychiatry Physician
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    License Number       |    ME33314
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    ME33314
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    License Number State |    FL
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