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General NPI Number Information
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NPI Number | 1780482281
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Entity Type | Organization
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Legal Business Name | MIAMI MINIMALLY INVASIVE REFLUX AND BARIATRIC SURGICAL SPECIALISTS
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 730 NW 107TH AVE STE 210
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City | MIAMI
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State | FL
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Zip | 33172-3104
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Country | US
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Telephone | 786-310-2283
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Fax | 786-384-7277
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Provider Business Mailing Address
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Address Line | 5480 SW 178TH AVE
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City | SOUTHWEST RANCHES
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State | FL
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Zip | 33331-2356
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Country | US
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Telephone | 917-981-5741
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LUCIANO FISZER
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Credential | MD
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Telephone | 917-981-5741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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