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General NPI Number Information
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NPI Number | 1891189734
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA TMS LLC.
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 7200 W CAMINO REAL SUITE 220
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City | BOCA RATON
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State | FL
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Zip | 33433-5511
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Country | US
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Telephone | 561-300-4052
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Fax | 561-300-4051
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Provider Business Mailing Address
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Address Line | 1951 NW 7TH AVE SUITE 300
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City | MIAMI
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State | FL
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Zip | 33136-1104
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Country | US
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Telephone | 561-300-4052
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Fax | 561-300-4051
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Authorized Official
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Title or Position | MGR
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Name | GIL LICHTSHEIN
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Credential | M.D
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Telephone | 561-300-4052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME87712
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License Number State | FL
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