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NPI 1659410868

NPI 1659410868 : FRANKLIN FIEDELHOLTZ MD PA : AVENTURA, FL

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General NPI Number Information
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    NPI Number           |    1659410868
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANKLIN FIEDELHOLTZ MD PA 
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Dates
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    Enumeration Date     |    02/05/2007
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    Last Update Date     |    02/24/2015
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Provider Practice Location Address
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    Address Line         |    21110 BISCAYNE BLVD. SUITE # 208
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    City                 |    AVENTURA
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    State                |    FL
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    Zip                  |    33180
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    Country              |    US
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    Telephone            |    305-933-1424
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    Fax                  |    305-933-2231
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Provider Business Mailing Address
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    Address Line         |    21110 BISCAYNE BLVD. SUITE # 208
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    City                 |    AVENTURA
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    State                |    FL
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    Zip                  |    33180
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    Country              |    US
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    Telephone            |    305-933-1424
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    Fax                  |    305-933-2231
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Authorized Official
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    Title or Position    |    MD
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    Name                 |    DR. FRANKLIN  FIEDELHOLTZ 
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    Credential           |    M.D,P.A.
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    Telephone            |    305-933-1424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    ME0015048
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME0015048
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    License Number State |    FL
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