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General NPI Number Information
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NPI Number | 1578191870
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Entity Type | Organization
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Legal Business Name | JF PRIMARY CARE MD PA
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 8200 SW 117TH AVE STE 314
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City | MIAMI
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State | FL
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Zip | 33183-4826
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Country | US
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Telephone | 305-274-6422
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Fax | 305-274-5707
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Provider Business Mailing Address
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Address Line | 8200 SW 117TH AVE STE 314
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City | MIAMI
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State | FL
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Zip | 33183-4826
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Country | US
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Telephone | 305-274-6422
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Fax | 305-274-5707
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Authorized Official
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Title or Position | OWNER
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Name | JORGE FLEITES
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Credential | MD
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Telephone | 305-274-6422
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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 |
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License Number State |
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