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General NPI Number Information
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NPI Number | 1760447460
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR INTERVENTIONS OF MIAMI, LLC
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 7000 SW 97TH AVENUE S-208
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-667-7220
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Fax | 305-667-6607
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Provider Business Mailing Address
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Address Line | 7000 SW 97TH AVENUE S-208
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-667-7220
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Fax | 305-667-6607
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Authorized Official
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Title or Position | CEO
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Name | ANDRES PALOMO
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Credential |
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Telephone | 305-667-7220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 0035668
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License Number State | FL
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