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General NPI Number Information
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NPI Number | 1871961508
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Entity Type | Organization
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Legal Business Name | FELIPE GASCON MD.PA
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 9290 SW 72ND ST STE 101
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City | MIAMI
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State | FL
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Zip | 33173-3236
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Country | US
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Telephone | 305-781-3102
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Fax |
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Provider Business Mailing Address
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Address Line | 241 NW 119TH AVE
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City | MIAMI
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State | FL
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Zip | 33182-1329
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Country | US
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Telephone | 305-781-3102
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FELIPE GASCON
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Credential | MD
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Telephone | 305-781-3102
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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 | ME118164
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License Number State | FL
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