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General NPI Number Information
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NPI Number | 1740604289
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Entity Type | Organization
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Legal Business Name | DAISY BORROTO MD PA
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 8700 W FLAGLER ST STE 420
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City | MIAMI
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State | FL
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Zip | 33174-2546
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Country | US
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Telephone | 305-608-0656
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Fax | 786-254-7084
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Provider Business Mailing Address
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Address Line | PO BOX 832944
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City | MIAMI
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State | FL
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Zip | 33283-2944
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Country | US
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Telephone | 305-608-0656
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Fax | 786-254-7084
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAISY BORROTO CONDE
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Credential | MD
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Telephone | 305-608-0656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME117322
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License Number State | FL
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