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General NPI Number Information
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NPI Number | 1598717142
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Entity Type | Organization
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Legal Business Name | HEALTH TRUST MEDICAL CARE
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11601 BISCAYNE BLVD SUITE 307
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City | NORTH MIAMI
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State | FL
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Zip | 33181-3151
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Country | US
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Telephone | 305-891-7960
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Fax | 305-891-7943
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Provider Business Mailing Address
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Address Line | 11601 BISCAYNE BLVD SUITE 307
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City | NORTH MIAMI
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State | FL
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Zip | 33181-3151
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Country | US
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Telephone | 305-891-7960
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Fax | 305-891-7943
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ARNALDO M FERNANDEZ
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Credential |
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Telephone | 305-891-7960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | HCC6623
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License Number State | FL
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