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General NPI Number Information
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NPI Number | 1710723010
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Entity Type | Individual
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Provider Name | FLORINDO DE LA HOZ PHYSICIAN ASSISTANT
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Gender | Male
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Dates
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Enumeration Date | 07/05/2024
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 13501 SW 128TH ST STE 207
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City | MIAMI
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State | FL
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Zip | 33186-5863
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Country | US
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Telephone | 786-295-2835
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Fax | 305-503-7566
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Provider Business Mailing Address
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Address Line | 16864 SW 145TH AVE
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City | MIAMI
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State | FL
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Zip | 33177-2015
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Country | US
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Telephone | 786-295-2835
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2159P.A.
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License Number State | PR
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