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General NPI Number Information
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NPI Number | 1619357902
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Entity Type | Organization
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Legal Business Name | MARIA L FUNDORA CABRERA DPM PA
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1380 NE MIAMI GARDENS DR STE 209
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City | MIAMI
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State | FL
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Zip | 33179-4709
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Country | US
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Telephone | 305-945-7575
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Fax | 305-945-7585
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Provider Business Mailing Address
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Address Line | 1380 NE MIAMI GARDENS DR STE 209
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City | MIAMI
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State | FL
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Zip | 33179-4709
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Country | US
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Telephone | 904-554-7996
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA L FUNDORA
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Credential | DPM
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Telephone | 904-554-7996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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