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NPI 1679847990

NPI 1679847990 : STIRLING MEDICAL CENTER, INC : HOLLYWOOD, FL

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General NPI Number Information
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    NPI Number           |    1679847990
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    Entity Type          |    Organization 
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    Legal Business Name  |    STIRLING MEDICAL CENTER, INC 
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Dates
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    Enumeration Date     |    03/05/2012
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    Last Update Date     |    03/05/2012
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Provider Practice Location Address
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    Address Line         |    5892 STIRLING RD STE 2 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-1541
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    Country              |    US
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    Telephone            |    954-239-0478
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    Fax                  |    954-239-0485
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Provider Business Mailing Address
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    Address Line         |    5892 STIRLING RD STE 2 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-1541
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    Country              |    US
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    Telephone            |    954-239-0478
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    Fax                  |    954-239-0485
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ONIDIA  RAYA 
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    Credential           |    
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    Telephone            |    954-239-0478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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