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General NPI Number Information
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NPI Number | 1962749564
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Entity Type | Organization
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Legal Business Name | IHOSVANI MIGUEL MD PA
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Dates
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Enumeration Date | 01/16/2013
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 500 SE 17TH ST STE 301
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2547
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Country | US
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Telephone | 855-844-1545
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Fax | 855-844-1545
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Provider Business Mailing Address
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Address Line | 500 SE 17TH ST STE 301
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City | FT LAUDERDALE
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State | FL
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Zip | 33316-2547
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Country | US
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Telephone | 855-844-1545
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Fax | 855-844-1545
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Authorized Official
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Title or Position | PRESIDENT
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Name | IHOSVANI MIGUEL
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Credential | MD
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Telephone | 786-290-1764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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