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General NPI Number Information
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NPI Number | 1508075813
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA MEDICAL CENTERS, INC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 33 S POMPANO PKWY
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3001
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Country | US
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Telephone | 954-974-8901
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Fax |
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Provider Business Mailing Address
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Address Line | 33 S POMPANO PKWY
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3001
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Country | US
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Telephone | 954-974-8901
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JIMI ADETULA
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Credential |
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Telephone | 954-472-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | FL
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