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General NPI Number Information
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NPI Number | 1578098737
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Entity Type | Organization
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Legal Business Name | MIAMI NEUROLOGY & REHABILITATION SPECIALISTS, INC.
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 5975 SUNSET DR SUITE 405
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5166
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Country | US
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Telephone | 786-532-3560
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Fax |
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Provider Business Mailing Address
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Address Line | 5975 SUNSET DR SUITE 405
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5166
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Country | US
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Telephone | 305-661-8040
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Fax | 305-661-8891
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICHOLAS GAZO
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Credential |
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Telephone | 786-532-3560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | CH9730
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License Number State | FL
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