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General NPI Number Information
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NPI Number | 1801073895
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDIAN VILLAGE CORP
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 9220 SW 45TH TERRACE
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 786-636-8174
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Fax | 786-409-4955
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Provider Business Mailing Address
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Address Line | 9220 SW 45TH TERRACE
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 786-636-8174
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Fax | 786-409-4955
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Authorized Official
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Title or Position | OWNER
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Name | HELEN LOPEZ HERNANDEZ
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Credential |
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Telephone | 786-478-9665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 7996
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License Number State | FL
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