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General NPI Number Information
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NPI Number | 1760148787
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Entity Type | Organization
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Legal Business Name | S & M MEDICAL GROUP INC
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Dates
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Enumeration Date | 11/14/2021
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 8461 LAKE WORTH RD STE 108
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City | LAKE WORTH
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State | FL
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Zip | 33467-2474
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Country | US
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Telephone | 305-713-3230
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Fax | 866-238-3096
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Provider Business Mailing Address
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Address Line | 1305 NW 2ND CIR
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City | BOCA RATON
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State | FL
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Zip | 33432-1417
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAUNA ROBYN RAMOS
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Credential |
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Telephone | 305-562-7884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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