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NPI 1720945025

NPI 1720945025 : CYBERDRIP HEALTH : AVENTURA, FL

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General NPI Number Information
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    NPI Number           |    1720945025
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    Entity Type          |    Organization 
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    Legal Business Name  |    CYBERDRIP HEALTH 
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Dates
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    Enumeration Date     |    01/07/2026
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    2820 NE 214TH ST STE 802 
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    City                 |    AVENTURA
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    State                |    FL
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    Zip                  |    33180-1269
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    Country              |    US
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    Telephone            |    954-633-5116
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2820 NE 214TH ST STE 802 
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    City                 |    AVENTURA
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    State                |    FL
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    Zip                  |    33180-1269
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. BYRON STEPHEN LEGUISAMO 
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    Credential           |    NP
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    Telephone            |    786-916-4146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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