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General NPI Number Information
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NPI Number | 1649604950
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Entity Type | Organization
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Legal Business Name | MIAMI GENERAL MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 08/23/2013
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 1871 CORAL WAY 202
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City | MIAMI
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State | FL
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Zip | 33145-2786
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Country | US
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Telephone | 305-856-3287
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Fax | 305-856-3288
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Provider Business Mailing Address
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Address Line | 1871 CORAL WAY 202
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City | MIAMI
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State | FL
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Zip | 33145-2786
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Country | US
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Telephone | 305-856-3287
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Fax | 305-856-3288
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL JOHN SPINUZZI
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Credential | MD
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Telephone | 305-856-3287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME114189
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License Number State | FL
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