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General NPI Number Information
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NPI Number | 1477245199
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Entity Type | Organization
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Legal Business Name | FLORES CARDIOLOGY LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 4800 NE 20TH TER STE 102
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4510
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Country | US
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Telephone | 954-999-5728
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Fax | 754-779-7747
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Provider Business Mailing Address
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Address Line | 4800 NE 20TH TER STE 102
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4510
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Country | US
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Telephone | 954-999-5728
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Fax | 754-779-7747
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | ROY SMITH
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Credential |
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Telephone | 954-824-2124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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