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General NPI Number Information
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NPI Number | 1457165607
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Entity Type | Organization
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Legal Business Name | JDR MEDICAL CENTER INC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 4800 W FLAGLER ST UNIT 21
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City | CORAL GABLES
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State | FL
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Zip | 33134-1446
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Country | US
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Telephone | 645-217-4909
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 W FLAGLER ST STE 211
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City | CORAL GABLES
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State | FL
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Zip | 33134-1401
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Country | US
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Telephone | 654-217-4909
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SERGIO ALVAREZ SR.
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Credential |
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Telephone | 645-217-4909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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