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General NPI Number Information
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NPI Number | 1972438034
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Entity Type | Organization
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Legal Business Name | ECM MEDICAL CORP
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 381 N KROME AVE STE 107
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City | HOMESTEAD
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State | FL
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Zip | 33030-6047
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Country | US
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Telephone | 305-905-3503
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Fax |
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Provider Business Mailing Address
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Address Line | 381 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-6026
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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 | CEO
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Name | EDWIN VIVES
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Credential | FOREIGN MD/FNP-C
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Telephone | 305-905-3503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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