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General NPI Number Information
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NPI Number | 1407046253
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Entity Type | Individual
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Provider Name | CAROLINA M UGARTE P.A.C.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 151 NW 11TH ST STE E102
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City | HOMESTEAD
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State | FL
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Zip | 33030-4350
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Country | US
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Telephone | 305-248-4877
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Fax | 844-685-8584
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 305-500-2000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9104142
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License Number State | FL
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