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General NPI Number Information
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NPI Number | 1073426458
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Entity Type | Organization
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Legal Business Name | TENET FLORIDA PHYSICIAN SERVICES, LLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 1905 CLINT MOORE RD STE 214
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City | BOCA RATON
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State | FL
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Zip | 33496-2658
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Country | US
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Telephone | 561-967-6500
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Fax | 561-912-9556
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Provider Business Mailing Address
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Address Line | 1905 CLINT MOORE RD STE 214
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City | BOCA RATON
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State | FL
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Zip | 33496-2660
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Country | US
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Telephone | 561-967-6500
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Fax | 561-912-9556
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Authorized Official
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Title or Position | GOVERNMENT PROGRAM OFFICER AND AO
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Name | BRIAN RASMUS
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Credential |
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Telephone | 469-893-2532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NULL
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