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General NPI Number Information
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NPI Number | 1851979066
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA SPINAL NEUROSURGERY ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 7805 NW BEACON SQUARE BLVD
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City | BOCA RATON
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State | FL
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Zip | 33487-1395
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Country | US
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Telephone | 800-964-4395
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Fax | 561-325-6072
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Provider Business Mailing Address
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Address Line | 1770 S OCEAN BLVD APT 201
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City | POMPANO BEACH
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State | FL
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Zip | 33062-7802
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Country | US
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Telephone | 954-634-4292
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Fax | 954-634-4293
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Authorized Official
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Title or Position | CEO
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Name | JEFFREY HARRY OPPENHEIMER
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Credential | MD
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Telephone | 800-964-4395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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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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