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General NPI Number Information
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NPI Number | 1689197972
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Entity Type | Organization
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Legal Business Name | MISUREZ MEDICAL CENTER CORP
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 07/19/2017
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Provider Practice Location Address
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Address Line | 18350 NW 2 AVE 622
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City | MIAMI GARDENS
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State | FL
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Zip | 33169
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Country | US
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Telephone | 786-255-5859
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Fax |
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Provider Business Mailing Address
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Address Line | 18350 NW 2ND AVE STE 622
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4570
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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 | PRESIDENT
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Name | MIGUEL ANGEL SUAREZ
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Credential |
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Telephone | 786-598-1236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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