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General NPI Number Information
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NPI Number | 1376637462
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Entity Type | Organization
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Legal Business Name | GERIATRIC HEARTS OF FLORIDA LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 8410 W FLAGLER ST SUITE # 204
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City | MIAMI
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State | FL
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Zip | 33144-2092
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Country | US
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Telephone | 786-273-1361
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Fax | 305-274-0692
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Provider Business Mailing Address
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Address Line | 8410 W FLAGLER ST SUITE # 204
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City | MIAMI
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State | FL
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Zip | 33144-2092
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Country | US
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Telephone | 786-273-1361
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Fax | 305-274-0692
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN CARLOS ABREU
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Credential | M.D.
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Telephone | 786-273-1361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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