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General NPI Number Information
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NPI Number | 1730852708
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Entity Type | Organization
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Legal Business Name | ATISSO MEDICAL CENTER
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 2331 N STATE ROAD 7 STE 220
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-3772
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Country | US
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Telephone | 954-290-9159
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Fax | 954-206-0561
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Provider Business Mailing Address
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Address Line | 2331 N STATE ROAD 7 STE 220
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-3772
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Country | US
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Telephone | 954-290-9159
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Fax | 954-206-0561
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Authorized Official
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Title or Position | PRESIDENT AND CO-OWNER
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Name | DR. FRANTZ SAINVIL
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Credential | MD, PH.D.
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Telephone | 954-290-9159
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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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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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