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General NPI Number Information
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NPI Number | 1437917580
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Entity Type | Organization
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Legal Business Name | MACHADO CARDIO DIAGNOSTICS INC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 28 NE 18TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-4519
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Country | US
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Telephone | 305-529-9901
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Fax |
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Provider Business Mailing Address
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Address Line | 747 PONCE DE LEON BLVD STE 503
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City | CORAL GABLES
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State | FL
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Zip | 33134-2073
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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 | OWNER
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Name | HUMBERTO MACHADO JR.
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Credential | MD
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Telephone | 305-529-9901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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