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General NPI Number Information
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NPI Number | 1457610982
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Entity Type | Organization
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Legal Business Name | S & Y INVESTMENT OF SOUTH FLORIDA CORPORATION
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 14331 SW 120TH ST UNIT 109
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City | MIAMI
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State | FL
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Zip | 33186-7293
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Country | US
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Telephone | 786-518-3387
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Fax | 786-518-3478
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Provider Business Mailing Address
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Address Line | 14331 SW 120TH ST UNIT 109
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City | MIAMI
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State | FL
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Zip | 33186-7293
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Country | US
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Telephone | 786-518-3387
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Fax | 786-518-3478
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SRIDEIVIS DORTA
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Credential | R.N.
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Telephone | 786-518-3387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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