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General NPI Number Information
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NPI Number | 1043756588
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Entity Type | Organization
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Legal Business Name | FLORIDA MEDICAL GERIATRIC GROUP
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Dates
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Enumeration Date | 01/08/2017
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Last Update Date | 01/08/2017
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Provider Practice Location Address
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Address Line | 2220 COUNTY ROAD 210 W
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City | JACKSONVILLE
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State | FL
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Zip | 32259-4058
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Country | US
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Telephone | 904-401-1897
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Fax | 904-808-7118
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Provider Business Mailing Address
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Address Line | 181 SAINT JOHNS FOREST BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32259-4067
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Country | US
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Telephone | 904-401-1897
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Fax | 904-808-7118
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Authorized Official
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Title or Position | OWNER
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Name | DR. VORBES ALEGER
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Credential | M.D.
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Telephone | 904-401-1897
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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 | ME102175
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License Number State | FL
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