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General NPI Number Information
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NPI Number | 1447491402
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Entity Type | Organization
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Legal Business Name | FELCAS HEALTH CENTER INC
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 10661 N KENDALL DR 112
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City | MIAMI
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State | FL
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Zip | 33176-8709
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Country | US
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Telephone | 305-598-6224
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Fax | 305-598-6339
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Provider Business Mailing Address
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Address Line | 10661 N KENDALL DR 112
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City | MIAMI
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State | FL
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Zip | 33176-8709
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Country | US
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Telephone | 305-598-6224
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Fax | 305-598-6339
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS MARTIN
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Credential |
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Telephone | 305-598-6224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME106122
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO2683
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME81313
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License Number State | FL
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