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General NPI Number Information
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NPI Number | 1841898756
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Entity Type | Organization
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Legal Business Name | NEIGHBORMD OF MIAMI BEACH LLC
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 400 ARTHUR GODFREY RD STE 103
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3500
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Country | US
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Telephone | 305-538-7344
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Fax |
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Provider Business Mailing Address
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Address Line | 400 ARTHUR GODFREY RD STE 103
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3500
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Country | US
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Telephone | 305-538-7344
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DAVID ROMANELLO
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Credential |
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Telephone | 352-459-3661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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