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General NPI Number Information
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NPI Number | 1942034863
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Entity Type | Organization
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Legal Business Name | UNITED STATES MEDICAL CENTER, INC
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Dates
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Enumeration Date | 09/02/2024
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Last Update Date | 09/02/2024
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Provider Practice Location Address
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Address Line | 1995 E OAKLAND PARK BLVD STE 305
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1138
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Country | US
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Telephone | 954-314-7078
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Fax | 877-468-5361
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Provider Business Mailing Address
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Address Line | 1900 W OAKLAND PARK BLVD UNIT 9961
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City | OAKLAND PARK
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State | FL
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Zip | 33310-0537
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Country | US
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Telephone | 954-314-7078
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Fax | 877-468-5361
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSUE LAROSE
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Credential | ECONOMIST
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Telephone | 954-595-9121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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Taxonomy #5
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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