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General NPI Number Information
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NPI Number | 1871469940
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Entity Type | Organization
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Legal Business Name | MED SOUTH SERVICES CORP
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 815 NW 57TH AVE STE 200-15
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City | MIAMI
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State | FL
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Zip | 33126-2018
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Country | US
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Telephone | 786-409-6917
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Fax |
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Provider Business Mailing Address
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Address Line | 815 NW 57TH AVE STE 200-15
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City | MIAMI
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State | FL
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Zip | 33126-2018
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Country | US
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Telephone | 786-409-6917
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | GUSTAVO RAMIREZ PEREZ
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Credential |
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Telephone | 786-409-6917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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