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General NPI Number Information
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NPI Number | 1588634984
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Entity Type | Organization
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Legal Business Name | J&F COMMUNITY MEDICAL CENTER INC
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 209 NE 95TH ST SUITE 9
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2745
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Country | US
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Telephone | 305-751-5454
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Fax | 305-756-9467
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Provider Business Mailing Address
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Address Line | 209 NE 95TH ST SUITE 9
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2712
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Country | US
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Telephone | 305-751-5454
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Fax | 305-756-9467
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS FLOR DE MARIA CRISOLOGO
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Credential | PA.
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Telephone | 305-751-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 800014697
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License Number State | FL
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