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General NPI Number Information
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NPI Number | 1700932159
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Entity Type | Organization
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Legal Business Name | PERFORMANCE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1257 W 44TH PL
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City | HIALEAH
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State | FL
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Zip | 33012-3331
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Country | US
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Telephone | 305-826-6689
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Fax | 305-826-1299
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Provider Business Mailing Address
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Address Line | 1257 W 44TH PL
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City | HIALEAH
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State | FL
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Zip | 33012-3331
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Country | US
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Telephone | 305-826-6689
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Fax | 305-826-1299
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISABEL C NARANJO
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Credential |
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Telephone | 305-826-6689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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