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General NPI Number Information
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NPI Number | 1700434560
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Entity Type | Organization
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Legal Business Name | S&C MEDICAL SERVICES CORP
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1901 BAYVIEW DR
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City | FT LAUDERDALE
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State | FL
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Zip | 33305-3627
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Country | US
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Telephone | 786-286-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 BAYVIEW DR
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City | FT LAUDERDALE
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State | FL
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Zip | 33305-3627
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Country | US
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Telephone | 786-286-0068
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLOS A LOPEZ
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Credential | MD
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Telephone | 786-286-0068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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