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General NPI Number Information
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NPI Number | 1104344944
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Entity Type | Organization
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Legal Business Name | FLORIDA PROFESSIONAL MANAGEMENT SERVICES
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2500 AIRPORT RD S STE 310
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City | NAPLES
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State | FL
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Zip | 34112-4803
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Country | US
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Telephone | 1
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Fax | 1
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Provider Business Mailing Address
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Address Line | 2500 AIRPORT RD S STE 310
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City | NAPLES
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State | FL
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Zip | 34112-4803
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Country | US
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Telephone | 1
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Fax | 1
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MARIA GARCIA
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Credential |
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Telephone | 1
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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