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General NPI Number Information
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NPI Number | 1801122940
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Entity Type | Organization
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Legal Business Name | FLORIDA HEALTH MANAGEMENT GROUP, INC
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Dates
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Enumeration Date | 10/25/2009
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 1920 E HALLANDALE BEACH BLVD 503
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4722
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Country | US
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Telephone | 305-331-2798
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Fax | 954-944-3181
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Provider Business Mailing Address
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Address Line | 1920 E HALLANDALE BEACH BLVD 503
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4722
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Country | US
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Telephone | 305-331-2798
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Fax | 954-944-3181
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT VIERA
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Credential |
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Telephone | 305-331-2798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 9103525
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 9103525
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME50277
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME50277
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME50277
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME50277
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License Number State | FL
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