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General NPI Number Information
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NPI Number | 1710858022
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Entity Type | Organization
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Legal Business Name | DORAL MED AND REHAB
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1460 NW 107TH AVE # 27-A
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City | SWEETWATER
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State | FL
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Zip | 33172-2740
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Country | US
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Telephone | 305-293-8111
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Fax | 305-705-5551
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Provider Business Mailing Address
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Address Line | 1460 NW 107TH AVE # 27-A
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City | SWEETWATER
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State | FL
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Zip | 33172-2740
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Country | US
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Telephone | 305-293-8111
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Fax | 305-705-5551
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | YASMIN VALENTINA SOLIS
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Credential |
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Telephone | 305-293-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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