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General NPI Number Information
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NPI Number | 1669063343
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Entity Type | Organization
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Legal Business Name | MODERN OBGYN CARE, PLLC.
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 07/14/2024
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Provider Practice Location Address
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Address Line | 10011 PINES BLVD STE 202
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6167
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Country | US
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Telephone | 754-217-4181
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Fax | 754-217-4185
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Provider Business Mailing Address
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Address Line | 10011 PINES BLVD STE 202
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6167
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Country | US
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Telephone | 754-217-4181
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Fax | 754-217-4185
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Authorized Official
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Title or Position | PHYSICIAN AND OWNER
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Name | MIGUEL A TORRES
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Credential | MD
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Telephone | 754-217-4181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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