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General NPI Number Information
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NPI Number | 1912078916
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Entity Type | Organization
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Legal Business Name | FLORIDA SURGICAL ASSISTANTS INC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/02/2010
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Provider Practice Location Address
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Address Line | 11750 SW 40 ST
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 305-227-5557
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Fax | 305-228-5435
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Provider Business Mailing Address
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Address Line | PO BOX 650990
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City | MIAMI
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State | FL
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Zip | 33265
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Country | US
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Telephone | 305-223-3000
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Fax | 305-228-5435
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JULIO VALDES
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Credential | SAC
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Telephone | 305-223-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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