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General NPI Number Information
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NPI Number | 1619930450
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA PULMONARY CARE, INC.
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 5733 NW 151ST ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2481
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Country | US
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Telephone | 305-826-4172
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Fax | 305-826-4178
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Provider Business Mailing Address
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Address Line | 5733 NW 151ST ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2481
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Country | US
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Telephone | 305-826-4172
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Fax | 305-826-4178
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERNESTO PADRON JR.
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Credential | RESPIRATORY THERAPIS
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Telephone | 305-826-4172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | HME # 701
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License Number State | FL
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