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NPI 1013460294

NPI 1013460294 : FLORIDA HEALTH CARE MEDICAL GROUP : ATLANTIS, FL

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General NPI Number Information
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    NPI Number           |    1013460294
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    Entity Type          |    Organization 
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    Legal Business Name  |    FLORIDA HEALTH CARE MEDICAL GROUP 
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Dates
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    Enumeration Date     |    07/25/2016
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    Last Update Date     |    07/25/2016
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Provider Practice Location Address
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    Address Line         |    5401 S CONGRESS AVE SUITE 201
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    City                 |    ATLANTIS
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    State                |    FL
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    Zip                  |    33462-6635
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    Country              |    US
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    Telephone            |    561-641-7848
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    Fax                  |    561-641-2442
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Provider Business Mailing Address
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    Address Line         |    5401 S CONGRESS AVE SUITE 201
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    City                 |    ATLANTIS
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    State                |    FL
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    Zip                  |    33462-6635
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    Country              |    US
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    Telephone            |    561-641-7848
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    Fax                  |    561-641-2442
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |    DR. ANDREW ROSS BERKMAN 
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    Credential           |    M.D.
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    Telephone            |    305-772-8020
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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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