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General NPI Number Information
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NPI Number | 1386326890
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Entity Type | Organization
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Legal Business Name | CAREWELL MED LLC
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2100 E HALLANDALE BEACH BLVD STE 101B
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-3722
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Country | US
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Telephone | 305-345-2080
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Fax | 954-231-7025
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Provider Business Mailing Address
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Address Line | 4711 SW 143RD CT
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City | MIAMI
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State | FL
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Zip | 33175-6894
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Country | US
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Telephone | 305-345-2080
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Fax |
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Authorized Official
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Title or Position | MANAGER MEMBER
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Name | HENRY MORAN
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Credential |
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Telephone | 305-345-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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