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General NPI Number Information
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NPI Number | 1982244992
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Entity Type | Organization
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Legal Business Name | SNF SOUTH FLORIDA INC
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 6915 S RED RD STE 215A
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3636
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Country | US
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Telephone | 305-231-1204
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Fax |
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Provider Business Mailing Address
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Address Line | 5660 STRAND CT STE 302
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City | NAPLES
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State | FL
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Zip | 34110-3343
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Country | US
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Telephone | 305-231-1204
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Fax | 305-901-1482
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Authorized Official
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Title or Position | OWNER
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Name | GHASSAN G HADDAD
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Credential | MD
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Telephone | 305-231-1204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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