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General NPI Number Information
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NPI Number | 1609640473
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA PRACTITIONERS & ASSOCIATES LLC
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 15600 SW 288TH ST STE 105
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City | HOMESTEAD
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State | FL
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Zip | 33033-1200
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Country | US
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Telephone | 786-298-4573
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Fax |
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Provider Business Mailing Address
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Address Line | 12349 SW 251ST TER
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City | HOMESTEAD
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State | FL
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Zip | 33032-5928
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Country | US
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Telephone | 786-298-4573
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADIANEZ GARCIA AGUILA
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Credential | FNP-BC
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Telephone | 786-298-4573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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