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General NPI Number Information
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NPI Number | 1639334923
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Entity Type | Individual
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Provider Name | LUIS A ROBAINA MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3816 HOLLYWOOD BLVD STE 206
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6750
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Country | US
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Telephone | 954-404-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 12999 SW 42ND ST
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City | MIRAMAR
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State | FL
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Zip | 33027-3176
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Country | US
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Telephone | 954-404-8881
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN913
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License Number State | FL
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