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General NPI Number Information
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NPI Number | 1083581797
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Entity Type | Organization
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Legal Business Name | OBL UVC MEDICAL PLLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 8029 COOPER CREEK BLVD STE 104
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City | UNIVERSITY PARK
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State | FL
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Zip | 34201-3003
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Country | US
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Telephone | 800-991-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 3820 NORTHDALE BLVD STE 201
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City | TAMPA
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State | FL
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Zip | 33624-1893
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Country | US
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Telephone | 813-961-1331
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | DR. DOMENIC ZAMBUTO
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Credential | MD
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Telephone | 813-683-4784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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