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General NPI Number Information
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NPI Number | 1952578312
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Entity Type | Organization
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Legal Business Name | REHAB ASSOCIATES OF SOUTH FLORIDA LLC
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 2525 SW 75TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-2800
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Country | US
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Telephone | 305-260-1852
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Fax | 305-265-4824
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Provider Business Mailing Address
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Address Line | 2525 SW 75TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-2800
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Country | US
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Telephone | 305-260-1852
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Fax | 305-265-4824
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Authorized Official
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Title or Position | OFFICER
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Name | MR. MIKE DE CARDENAS
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Credential | M.D.
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Telephone | 305-260-1852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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