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General NPI Number Information
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NPI Number | 1013807494
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Entity Type | Organization
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Legal Business Name | VIRTUMEDEX OF FLORIDA PA
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 3718 PLEASANT SPRINGS DR
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City | NAPLES
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State | FL
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Zip | 34119-8660
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Country | US
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Telephone | 646-612-4416
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Fax |
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Provider Business Mailing Address
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Address Line | 1230 HEMPSTEAD TPKE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1534
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Country | US
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Telephone | 646-612-4416
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VICTORIA SPENCER
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Credential | MD
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Telephone | 646-612-4416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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