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General NPI Number Information
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NPI Number | 1780657437
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Entity Type | Organization
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Legal Business Name | NEUROLOGY GROUP OF SOUTH FL INC
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 4300 ALTON RD SUITE 2060
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-532-2464
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Fax | 305-531-2924
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Provider Business Mailing Address
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Address Line | 4300 ALTON RD SUITE 2060
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-532-2464
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Fax | 305-531-2924
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Authorized Official
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Title or Position | TREASURER
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Name | GEORGE C DIAZ
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Credential | MD
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Telephone | 305-532-2464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State | FL
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