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General NPI Number Information
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NPI Number | 1588852743
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Entity Type | Organization
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Legal Business Name | LUIS MANUEL ZAVALA, M.D.,P.A.
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 7600 SW 57TH AVE STE. 304
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5428
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Country | US
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Telephone | 305-661-8288
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Fax | 305-661-1874
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Provider Business Mailing Address
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Address Line | 7600 SW 57TH AVE STE. 304
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5428
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Country | US
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Telephone | 305-661-8288
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Fax | 305-661-1874
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIS MANUEL ZAVALA
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Credential | M.D.
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Telephone | 305-661-8288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME102624
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License Number State | FL
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