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General NPI Number Information
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NPI Number | 1730259649
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Entity Type | Organization
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Legal Business Name | VILMED INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 9111 PARK DR
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City | MIAMI SHORES
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State | FL
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Zip | 33138-3159
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Country | US
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Telephone | 305-756-6110
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Fax | 305-759-1255
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Provider Business Mailing Address
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Address Line | 9111 PARK DR
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City | MIAMI SHORES
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State | FL
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Zip | 33138-3159
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Country | US
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Telephone | 305-756-6110
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Fax | 305-759-1255
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Authorized Official
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Title or Position | DIRECTOR
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Name | CARLOS OMENACA
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Credential | MD
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Telephone | 305-756-6110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME72943
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License Number State | FL
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