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General NPI Number Information
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NPI Number | 1689649717
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Entity Type | Organization
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Legal Business Name | FLORIDA DIAGNOSTIC ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8700 N KENDALL DR #212
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City | MIAMI
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State | FL
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Zip | 33176-2206
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Country | US
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Telephone | 305-598-6300
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Fax | 305-598-8758
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Provider Business Mailing Address
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Address Line | 8700 N KENDALL DR #212
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City | MIAMI
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State | FL
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Zip | 33176-2206
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Country | US
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Telephone | 305-598-6300
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Fax | 305-598-8758
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. MARIA PARDINAS
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Credential | RCDS
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Telephone | 305-598-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | HCC5716
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License Number State | FL
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