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General NPI Number Information
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NPI Number | 1922947274
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Entity Type | Organization
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Legal Business Name | FLORIDA HEALTH CLINIC INC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 1350 NE 125TH ST STE 100
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5913
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Country | US
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Telephone | 305-967-8381
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Fax | 305-967-8394
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Provider Business Mailing Address
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Address Line | 5450 SW 8TH ST STE 202
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City | CORAL GABLES
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State | FL
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Zip | 33134-2200
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELLY ACEVEDO
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Credential |
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Telephone | 305-967-8381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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