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General NPI Number Information
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NPI Number | 1801184551
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Entity Type | Organization
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Legal Business Name | COMFORT HEALTH GROUP LLC.
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 5190 NW 167TH ST SUITE #108 & 109
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City | MIAMI GARDENS
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State | FL
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Zip | 33014-6328
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Country | US
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Telephone | 786-547-2382
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Fax | 305-630-8858
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Provider Business Mailing Address
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Address Line | 8300 W FLAGLER ST STE 210
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City | MIAMI
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State | FL
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Zip | 33144-6002
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Country | US
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Telephone | 786-547-2382
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Fax | 305-630-8858
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GERARDO PORTILLA
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Credential |
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Telephone | 786-547-2382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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