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General NPI Number Information
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NPI Number | 1689008302
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL SPECIALTIES INC.
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 6705 S RED RD STE 522
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3649
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Country | US
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Telephone | 305-444-1213
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Fax | 305-444-1216
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Provider Business Mailing Address
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Address Line | 6705 S RED RD STE 522
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3649
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Country | US
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Telephone | 305-444-1213
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Fax | 305-444-1216
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLOS A. RIVEROS
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Credential | MD
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Telephone | 305-444-1213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME101122
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License Number State | FL
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