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General NPI Number Information
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NPI Number | 1851785711
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Entity Type | Organization
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Legal Business Name | INTERVENTIONAL RADIOLOGY OF SOUTH FLORIDA, LLP
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 160 NW 170TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5521
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Country | US
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Telephone | 954-534-1099
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Fax | 305-654-6872
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Provider Business Mailing Address
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Address Line | 4581 WESTON RD SUITE 282
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City | WESTON
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State | FL
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Zip | 33331-3141
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Country | US
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Telephone | 305-654-5221
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Fax | 305-654-6872
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Authorized Official
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Title or Position | OWNER
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Name | PETER SWISCHUK
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Credential | MD
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Telephone | 954-534-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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