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NPI 1871168880

NPI 1871168880 : PEDIATRIC RESPIRATORY CARE OF SOUTH FLORIDA, INC. : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1871168880
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    Entity Type          |    Organization 
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    Legal Business Name  |    PEDIATRIC RESPIRATORY CARE OF SOUTH FLORIDA, INC. 
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Dates
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    Enumeration Date     |    05/21/2021
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    Last Update Date     |    05/05/2025
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Provider Practice Location Address
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    Address Line         |    4101 SW 73RD AVENUE 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33155-2405
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    Country              |    US
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    Telephone            |    305-248-1003
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    Fax                  |    305-248-1009
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Provider Business Mailing Address
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    Address Line         |    4101 SW 73RD AVE UNIT C 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33155-4520
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    Country              |    US
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    Telephone            |    305-248-1003
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    Fax                  |    305-248-1009
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Authorized Official
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    Title or Position    |    VP
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    Name                 |    MRS. KAREN S ALBA 
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    Credential           |    MBA.
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    Telephone            |    305-248-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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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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