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General NPI Number Information
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NPI Number | 1033432448
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Entity Type | Organization
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Legal Business Name | FLORIDA SURGICAL PHYSICIANS PA
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 9471 BAYMEADOWS RD SUITE 207
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7932
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Country | US
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Telephone | 904-724-2263
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Fax | 904-723-3007
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Provider Business Mailing Address
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Address Line | 9471 BAYMEADOWS RD SUITE 207
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7932
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Country | US
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Telephone | 904-724-2263
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Fax | 904-723-3007
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL L BAPTISTA
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Credential | M.D.
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Telephone | 904-724-2263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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