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General NPI Number Information
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NPI Number | 1689362105
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Entity Type | Organization
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Legal Business Name | INSULINIC OF FLORIDA LLC
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 100 NW 170TH ST STE 411
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5511
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Country | US
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Telephone | 786-885-1626
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Fax | 954-634-4293
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Provider Business Mailing Address
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Address Line | 3700 WASHINGTON ST STE 304
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8258
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Country | US
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Telephone | 954-820-5860
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Fax | 954-634-4293
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Authorized Official
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Title or Position | OWNER
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Name | ATHANASIOS SARIDIS
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Credential |
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Telephone | 647-273-6484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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