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General NPI Number Information
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NPI Number | 1720880925
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Entity Type | Organization
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Legal Business Name | SERVICES AT PALM INC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 480 PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33010-4718
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Country | US
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Telephone | 305-992-5455
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Fax |
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Provider Business Mailing Address
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Address Line | 480 PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33010-4718
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Country | US
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Telephone | 305-992-5455
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIO T DEL TORO TOBOSO
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Credential |
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Telephone | 305-992-5455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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