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General NPI Number Information
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NPI Number | 1033247614
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Entity Type | Organization
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Legal Business Name | URGI-KIDS OF FLORIDA PA
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7217 GREEN SLOPE DR
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-1306
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Country | US
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Telephone | 813-788-0878
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24417
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City | TAMPA
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State | FL
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Zip | 33623-4417
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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 | OWNER - PROVIDER
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Name | ALICIA FERNANDEZ-GARCIA
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Credential | MD
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Telephone | 813-788-0878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | ME53193
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License Number State | FL
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