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General NPI Number Information
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NPI Number | 1598962714
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Entity Type | Organization
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Legal Business Name | FAMILY DOCTORS MEDICAL CENTER
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7856 NW 178TH ST
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City | HIALEAH
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State | FL
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Zip | 33015-3649
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Country | US
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Telephone | 305-558-7200
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Fax | 305-558-7222
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Provider Business Mailing Address
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Address Line | 7856 NW 178 ST
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City | MIAMI LAKES
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State | FL
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Zip | 33015
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Country | US
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Telephone | 305-558-7200
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Fax | 305-558-7222
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. JULIAN CELESTINO MUNOZ-DIAZ
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Credential | M.D.
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Telephone | 954-881-1217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0068118
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License Number State | FL
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