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General NPI Number Information
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NPI Number | 1992001416
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Entity Type | Organization
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Legal Business Name | FLORIDA HEALTH CENTER,INC
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 4471 NW 36TH ST SUITE 216-3
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-7285
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Country | US
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Telephone | 305-728-9723
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Fax | 786-378-5355
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Provider Business Mailing Address
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Address Line | 4471 NW 36TH ST SUITE 216-3
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-7285
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Country | US
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Telephone | 305-728-9723
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Fax | 786-378-5355
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Authorized Official
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Title or Position | DIRECTOR
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Name | TINA AGNES-MARIE JORGE
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Credential |
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Telephone | 305-728-9723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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