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General NPI Number Information
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NPI Number | 1770436560
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Entity Type | Organization
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Legal Business Name | PURE ACCESS CARE OF FLORIDA, P.A.
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 407 LINCOLN RD STE 6H
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City | MIAMI BEACH
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State | FL
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Zip | 33139-3023
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Country | US
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Telephone | 917-451-7064
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Fax |
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Provider Business Mailing Address
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Address Line | 407 LINCOLN RD STE 6H
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City | MIAMI BEACH
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State | FL
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Zip | 33139-3023
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Country | US
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Telephone | 917-451-7064
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Fax | 917-451-7064
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Authorized Official
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Title or Position | TREASURER & SECRETARY
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Name | MAYA KRIEGER KOLEVSOHN
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Credential |
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Telephone | 917-451-7064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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