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General NPI Number Information
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NPI Number | 1477435766
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Entity Type | Organization
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Legal Business Name | FLOVASC LLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 1615 MIAMI RD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2933
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Country | US
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Telephone | 305-218-3680
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 GRIFFIN RD STE 205
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6900
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Country | US
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Telephone | 305-218-3680
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Fax | 305-647-3665
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Authorized Official
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Title or Position | ADMINISTRATO
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Name | RAPAHEL MITTEL
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Credential |
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Telephone | 305-218-3680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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