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General NPI Number Information
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NPI Number | 1881440238
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Entity Type | Organization
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Legal Business Name | SUNSHINE INFECTIOUS DISEASE & TROPICAL MEDICINE CENTER LLC
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2301 N UNIVERSITY DR STE 207
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3617
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Country | US
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Telephone | 754-275-5527
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Fax | 305-574-9458
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Provider Business Mailing Address
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Address Line | 2301 N UNIVERSITY DR STE 207
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3617
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Country | US
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Telephone | 754-275-5527
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Fax | 305-574-9458
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Authorized Official
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Title or Position | MD
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Name | PREMALKUMAR PATEL
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Credential |
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Telephone | 201-301-5320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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