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General NPI Number Information
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NPI Number | 1710357397
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY OF THE FLORIDA KEYS, LLC
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 3401 NORTHSIDE DR
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City | KEY WEST
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State | FL
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Zip | 33040-4238
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Country | US
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Telephone | 305-294-8334
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Fax | 305-294-8339
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Provider Business Mailing Address
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Address Line | 3401 NORTHSIDE DR
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City | KEY WEST
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State | FL
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Zip | 33040-4238
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Country | US
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Telephone | 305-294-8334
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Fax | 305-294-8339
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | WAYNE CHUTKAN
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Credential |
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Telephone | 305-674-2089
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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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