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General NPI Number Information
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NPI Number | 1558106393
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Entity Type | Organization
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Legal Business Name | PIRRX OF SOUTH FLORIDA LLC
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Dates
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Enumeration Date | 06/25/2024
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 555 SW 12TH AVE STE 102B
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3593
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Country | US
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Telephone | 216-313-0793
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Fax |
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Provider Business Mailing Address
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Address Line | 555 SW 12TH AVE STE 102B
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3593
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Country | US
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Telephone | 216-313-0793
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING EMPLOYEE
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Name | GREGOIRE GASPARINI
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Credential |
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Telephone | 434-466-9094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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