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General NPI Number Information
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NPI Number | 1386019081
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Entity Type | Organization
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Legal Business Name | MD OF SOUTH FLORIDA, LLC.
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 9733 ERICA CT
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City | BOCA RATON
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State | FL
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Zip | 33496-1942
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Country | US
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Telephone | 754-209-1013
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Fax |
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Provider Business Mailing Address
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Address Line | 9733 ERICA CT
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City | BOCA RATON
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State | FL
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Zip | 33496-1942
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Country | US
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Telephone | 754-209-1013
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ISRAEL RABINSKY
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Credential | M.D.
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Telephone | 754-209-1013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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