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General NPI Number Information
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NPI Number | 1942967278
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA MIDWIFERY SERVICES, LLC
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 06/14/2025
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Provider Practice Location Address
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Address Line | 10540 NW 26TH ST STE G108
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City | DORAL
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State | FL
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Zip | 33172-2162
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Country | US
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Telephone | 786-340-5895
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Fax | 813-365-3074
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Provider Business Mailing Address
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Address Line | 3574 W 94TH ST
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City | HIALEAH
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State | FL
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Zip | 33018-2076
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Country | US
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Telephone | 786-340-5895
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JORGE ALBERTO URDANETA AQUI
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Credential | LM
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Telephone | 786-340-5895
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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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