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General NPI Number Information
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NPI Number | 1922627686
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Entity Type | Organization
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Legal Business Name | FUTURE MD
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 66 W FLAGLER ST STE 900 #1688
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City | MIAMI
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State | FL
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Zip | 33130-1807
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Country | US
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Telephone | 866-866-0645
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Fax |
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Provider Business Mailing Address
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Address Line | 66 W FLAGLER ST STE 900 #1688
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City | MIAMI
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State | FL
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Zip | 33130-1807
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Country | US
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Telephone | 866-866-0645
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DYLAN B SPORN
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Credential |
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Telephone | 561-886-8226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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