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General NPI Number Information
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NPI Number | 1679606750
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Entity Type | Organization
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Legal Business Name | HEALTH TECH MEDICAL INC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6555 NW 36TH ST SUITE #200
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6978
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Country | US
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Telephone | 305-871-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 6555 NW 36TH ST SUITE #200
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6978
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FELIX CORCHO
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Credential |
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Telephone | 305-871-2238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 6002
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License Number State | FL
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