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General NPI Number Information
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NPI Number | 1811707524
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Entity Type | Organization
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Legal Business Name | SIRIUS HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 296 TREEMONTE DR STE 296
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City | ORANGE CITY
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State | FL
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Zip | 32763-7945
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Country | US
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Telephone | 888-808-1540
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Fax |
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Provider Business Mailing Address
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Address Line | 296 TREEMONTE DR STE 296
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City | ORANGE CITY
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State | FL
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Zip | 32763-7945
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Country | US
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Telephone | 888-808-1540
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SONIA NOEMI TORRES
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Credential |
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Telephone | 407-860-0283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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