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General NPI Number Information
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NPI Number | 1467574152
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Entity Type | Organization
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Legal Business Name | DONALD MINERVINI, M.D., P.A.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4302 ALTON RD SUITE 820
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2891
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Country | US
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Telephone | 305-531-7409
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Fax | 305-531-5182
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Provider Business Mailing Address
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Address Line | 4302 ALTON RD SUITE 820
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2891
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Country | US
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Telephone | 305-531-7409
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Fax | 305-531-5182
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD MINERVINI
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Credential | M.D.
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Telephone | 305-531-7409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME0013354
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License Number State | FL
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