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General NPI Number Information
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NPI Number | 1558463810
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES OF FL
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 601 N FLAMINGO ROAD SUITE#206A
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City | PEMBROKE PINES
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State | FL
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Zip | 33028
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Country | US
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Telephone | 954-336-9615
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Fax | 954-450-2504
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Provider Business Mailing Address
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Address Line | 1720 VICTORIA POINTE CIR
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City | WESTON
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State | FL
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Zip | 33327-1306
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Country | US
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Telephone | 954-336-9615
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Fax | 954-450-2504
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALVIN GUTIERREZ
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Credential | MD
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Telephone | 954-336-9615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME72322
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License Number State | FL
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