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General NPI Number Information
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NPI Number | 1760424287
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Entity Type | Organization
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Legal Business Name | FLORIDA PACE CENTERS, INC.
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 5200 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33137-2706
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Country | US
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Telephone | 305-795-8410
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Fax | 305-762-3847
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Provider Business Mailing Address
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Address Line | 5200 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33137-2706
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Country | US
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Telephone | 305-795-8410
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Fax | 305-762-3847
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICE
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Name | MARIA LANE
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Credential |
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Telephone | 305-795-1890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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