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General NPI Number Information
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NPI Number | 1588680797
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Entity Type | Organization
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Legal Business Name | CARDIOCARE OF SOUTH FLORIDA PA
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 06/20/2012
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Provider Practice Location Address
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Address Line | 21110 BISCAYNE BLVD #208
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 305-692-9299
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Fax | 305-692-8668
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Provider Business Mailing Address
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Address Line | 21110 BISCAYNE BLVD #208
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 305-692-9299
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Fax | 305-692-8668
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Authorized Official
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Title or Position | OWNER
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Name | ERIC M SPIVACK
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Credential | MD
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Telephone | 305-692-9299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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