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General NPI Number Information
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NPI Number | 1902110844
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Entity Type | Organization
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Legal Business Name | KEY BISCAYNE MEDICAL CENTER INC
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 3661 S MIAMI AVE STE 510
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City | MIAMI
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State | FL
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Zip | 33133-4200
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Country | US
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Telephone | 305-860-1030
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Fax | 305-856-0029
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Provider Business Mailing Address
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Address Line | PO BOX 348447
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City | CORAL GABLES
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State | FL
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Zip | 33234-8447
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Country | US
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Telephone | 305-860-1030
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Fax | 305-856-0029
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICARDO GIRALA
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Credential | MD
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Telephone | 305-860-1030
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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 | ME73731
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License Number State | FL
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