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General NPI Number Information
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NPI Number | 1033747506
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Entity Type | Individual
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Provider Name | BERNHARD WOLMARANS MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 601 E ROLLINS ST
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City | ORLANDO
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State | FL
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Zip | 32803-1248
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Country | US
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Telephone | 407-543-5732
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Fax |
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Provider Business Mailing Address
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Address Line | 17 DAVIS BLVD STE 308
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City | TAMPA
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State | FL
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Zip | 33606-3438
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME163551
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License Number State | FL
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