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1730574401 NPI number — EPIC HEALTHCARE SYSTEMS,INC

NPI Number: 1730574401
Health Care Provider/Practitioner: EPIC HEALTHCARE SYSTEMS,INC

Information about “1730574401” NPI (EPIC HEALTHCARE SYSTEMS,INC) exists in 1730574401 in HTML format HTML  |  1730574401 in plain Text format TXT  |  1730574401 in PDF (Portable Document Format) PDF  |  1730574401 in an XML format XML  formats.

NPI Number : 1730574401 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730574401",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EPIC HEALTHCARE SYSTEMS,INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7805 SW 24TH ST STE 121",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33155-6553",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-269-6788",
    "MailingAddressFaxNumber": "305-269-6708",
    "FirstLinePracticeLocationAddress": "7805 SW 24TH ST STE 121",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33155-6553",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-269-7058",
    "PracticeLocationAddressFaxNumber": "305-269-6708",
    "EnumerationDate": "03/31/2015",
    "LastUpdateDate": "03/16/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CESPEDES",
    "AuthorizedOfficialFirstName": "MEDIDA",
    "AuthorizedOfficialMiddleName": "RUTH",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MISS",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "ARNP",
    "AuthorizedOfficialTelephoneNumber": "305-269-6788",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QR0400X",
          "TaxonomyName": "Rehabilitation Clinic/Center",
          "LicenseNumber": "PT21405",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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