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General NPI Number Information
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NPI Number | 1669767497
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Entity Type | Organization
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Legal Business Name | FLORIDA HEALTH AND THERAPY, INC
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 660 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4422
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Country | US
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Telephone | 954-454-1128
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Fax | 954-944-3181
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Provider Business Mailing Address
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Address Line | 660 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4422
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Country | US
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Telephone | 954-454-1128
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Fax | 954-944-3181
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ROBERT K VIERA
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Credential |
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Telephone | 954-454-1128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | PMC1245
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License Number State | FL
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