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General NPI Number Information
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NPI Number | 1528944980
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Entity Type | Organization
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Legal Business Name | PANAMA CLINIC MEDICAL, S.A.
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | CENTRO PACIFIC CENTER TORRE B
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City | PANAMA CITY
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State | PAITILLA
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Zip | 99999
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Country | PA
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Telephone | 507-310-1111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11661
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City | FORT LAUDERDALE
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State | FL
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Zip | 33339-1661
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | THEODORO CONSTANTINAU
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Credential |
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Telephone | 507-310-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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