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General NPI Number Information
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NPI Number | 1912177841
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Entity Type | Organization
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Legal Business Name | CORAL SPRINGS CENTER FOR MEDICINE & SURGERY OF THE FOOT & LEG INC
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 1725 N UNIVERSITY DR SUITE 302
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6089
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Country | US
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Telephone | 954-345-5223
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Fax | 954-345-9985
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Provider Business Mailing Address
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Address Line | 1725 N UNIVERSITY DR SUITE 302
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6089
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Country | US
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Telephone | 954-345-5223
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Fax | 954-345-9985
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL MENASHE COHEN
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Credential | DPM
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Telephone | 954-345-5223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO 1763
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License Number State | FL
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