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General NPI Number Information
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NPI Number | 1386498541
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Entity Type | Organization
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Legal Business Name | REAL MEDIX LLC
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 1601 CLINT MOORE RD STE 150
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City | BOCA RATON
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State | FL
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Zip | 33487-5715
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Country | US
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Telephone | 305-504-6797
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Fax |
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Provider Business Mailing Address
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Address Line | 17689 SCARSDALE WAY
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City | BOCA RATON
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State | FL
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Zip | 33496-1330
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Country | US
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Telephone | 305-504-6797
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Fax |
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Authorized Official
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Title or Position | PARTNER / FOUNDER
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Name | RAFAEL LEVITAN
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Credential |
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Telephone | 305-504-6797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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