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General NPI Number Information
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NPI Number | 1053296285
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Entity Type | Individual
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Provider Name | MICHAEL LUVERA PHARMD, CPH
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Gender | Male
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 125 BOSTON AVE
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City | IMMOKALEE
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State | FL
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Zip | 34142-4017
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Country | US
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Telephone | 239-986-5479
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Fax |
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Provider Business Mailing Address
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Address Line | 1252 NIMITZ BLVD
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City | LEHIGH ACRES
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State | FL
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Zip | 33974-2653
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PU9928
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS66373
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License Number State | FL
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