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General NPI Number Information
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NPI Number | 1699852020
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Entity Type | Organization
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Legal Business Name | MIAMI MEDICAL CONSULTANTS P A
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 4950 S LE JEUNE RD SUITE H
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City | CORAL GABLES
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State | FL
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Zip | 33146-2231
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Country | US
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Telephone | 305-669-0690
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Fax | 305-669-8856
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Provider Business Mailing Address
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Address Line | 4950 S LE JEUNE RD SUITE H
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City | CORAL GABLES
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State | FL
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Zip | 33146-2231
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Country | US
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Telephone | 305-669-0690
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Fax | 305-669-8856
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT CHARLES CAVA
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Credential | M.D.
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Telephone | 305-669-0690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME40002
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME40002
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME40002
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License Number State | FL
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