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General NPI Number Information
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NPI Number | 1710370473
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Entity Type | Organization
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Legal Business Name | UNIVERSAL MEDICAL OF MIAMI CORP
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 5901 NW 151ST ST STE 103
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2428
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Country | US
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Telephone | 305-557-5243
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Fax | 305-557-5242
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Provider Business Mailing Address
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Address Line | 5901 NW 151ST ST STE 103
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2428
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Country | US
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Telephone | 305-557-5243
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Fax | 305-557-5242
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS A ALMONTE
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Credential | MD
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Telephone | 305-557-5243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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