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General NPI Number Information
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NPI Number | 1831368786
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Entity Type | Organization
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Legal Business Name | THE FAMILY HEALTH CENTER OF BROWARD
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5920 JOHNSON ST STE 104
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5652
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Country | US
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Telephone | 954-894-6022
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Fax |
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Provider Business Mailing Address
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Address Line | 5920 JOHNSON ST STE 104
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5652
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Country | US
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Telephone | 954-894-6022
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | JAIME H MEJIA
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Credential | M.D.
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Telephone | 954-805-9494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | FL
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