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General NPI Number Information
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NPI Number | 1922774561
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Entity Type | Organization
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Legal Business Name | PROSTATE SPECIALISTS OF AMERICA
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 7400 SW 87TH AVE STE 220B
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City | MIAMI
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State | FL
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Zip | 33173-5458
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Country | US
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Telephone | 305-985-5606
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Fax | 305-925-8119
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Provider Business Mailing Address
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Address Line | 7400 SW 87TH AVE STE 220B
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City | MIAMI
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State | FL
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Zip | 33173-5458
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Country | US
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Telephone | 305-985-5606
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Fax | 305-925-8119
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Authorized Official
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Title or Position | PARTNER
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Name | DR. BRIAN F BAIGORRI
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Credential | MD
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Telephone | 917-902-8735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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