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General NPI Number Information
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NPI Number | 1912740440
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE PHYSICIANS OF SOUTH FLORIDA
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Dates
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Enumeration Date | 06/13/2024
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 8356 SW 40TH ST STE ABC
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City | MIAMI
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State | FL
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Zip | 33155-3356
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Country | US
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Telephone | 786-633-4373
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Fax | 305-808-3094
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Provider Business Mailing Address
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Address Line | 8356 SW 40TH ST STE ABC
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City | MIAMI
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State | FL
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Zip | 33155-3356
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Country | US
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Telephone | 305-727-2020
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Fax | 305-808-3094
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Authorized Official
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Title or Position | CEO
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Name | OSCAR J DOMINGUEZ
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Credential | MD
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Telephone | 786-633-4373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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