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General NPI Number Information
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NPI Number | 1386576916
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Entity Type | Organization
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Legal Business Name | INFECTIOUS DISEASE MANAGEMENT, LLC
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Dates
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Enumeration Date | 05/29/2026
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Last Update Date | 05/29/2026
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Provider Practice Location Address
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Address Line | 7225 BOCA DEL MAR DR
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City | BOCA RATON
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State | FL
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Zip | 33433-5517
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Country | US
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Telephone | 954-482-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N FEDERAL HWY STE 201
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2450
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FINANCIAL CONTROLLER
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Name | ERIC JARQUIN
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Credential |
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Telephone | 954-651-8332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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