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General NPI Number Information
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NPI Number | 1669998662
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Entity Type | Organization
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Legal Business Name | JESSE AREOPAGITA MD PLLC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/28/2017
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Provider Practice Location Address
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Address Line | 703 N FLAMINGO RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1006
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Country | US
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Telephone | 954-436-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3051 SW 163RD AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-5239
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Country | US
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Telephone | 954-707-7668
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESSE AREOPAGITA
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Credential | MD
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Telephone | 954-707-7668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME84862
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License Number State | FL
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