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NPI 1417212531

NPI 1417212531 : JULIO ORTIZ MDMEDICAL SERVICES PA : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1417212531
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    Entity Type          |    Organization 
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    Legal Business Name  |    JULIO ORTIZ MDMEDICAL SERVICES PA 
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Dates
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    Enumeration Date     |    07/05/2012
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    Last Update Date     |    08/03/2012
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Provider Practice Location Address
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    Address Line         |    11760 SW 40TH ST SUITE 429
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33175-3582
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    Country              |    US
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    Telephone            |    305-553-7140
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    Fax                  |    305-551-2342
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Provider Business Mailing Address
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    Address Line         |    11760 SW 40TH ST SUITE 429
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33175-3582
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    Country              |    US
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    Telephone            |    305-553-7140
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    Fax                  |    305-551-2342
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JULIO  ORTIZ 
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    Credential           |    M.D.
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    Telephone            |    305-553-7140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    
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    License Number State |    
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