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General NPI Number Information
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NPI Number | 1740872811
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Entity Type | Organization
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Legal Business Name | OCEAN EAST MEDICAL CENTER LLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 1 1900 W DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33161
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Country | US
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Telephone | 786-747-4970
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Fax | 305-508-6680
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Provider Business Mailing Address
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Address Line | 28810 SW 154 AVE
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City | HOMESTAED
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State | FL
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Zip | 33033-2543
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Country | US
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Telephone | 786-730-8268
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Fax | 305-508-6680
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Authorized Official
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Title or Position | OWNER
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Name | MR. ELIUX VELAZQUEZ
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Credential |
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Telephone | 786-730-8268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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