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General NPI Number Information
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NPI Number | 1598340606
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Entity Type | Organization
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Legal Business Name | RETINA CONSULTANTS OF MIAMI
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 2601 SW 37TH AVE STE 501
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City | MIAMI
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State | FL
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Zip | 33133-2750
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Country | US
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Telephone | 305-712-6711
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Fax | 305-760-4719
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Provider Business Mailing Address
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Address Line | 2601 SW 37TH AVE STE 501
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City | MIAMI
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State | FL
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Zip | 33133-2750
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Country | US
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Telephone | 305-794-6117
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Fax |
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Authorized Official
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Title or Position | MAIN PROVIDER
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Name | DR. JOSE DANIEL DIAZ
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Credential | MD
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Telephone | 305-712-6711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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