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General NPI Number Information
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NPI Number | 1528156445
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Entity Type | Organization
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Legal Business Name | IMPERIAL HEALTH SYSTEMS, INC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 13780 SW 26TH ST STE 104
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City | MIAMI
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State | FL
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Zip | 33175-6302
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Country | US
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Telephone | 305-480-0803
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Fax |
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Provider Business Mailing Address
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Address Line | 13780 SW 26TH ST STE 104
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City | MIAMI
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State | FL
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Zip | 33175-6302
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Country | US
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Telephone | 305-480-0803
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MANUELA BORCHES
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Credential |
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Telephone | 305-785-7266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | HCC7273
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | HCC7273
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License Number State | FL
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