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General NPI Number Information
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NPI Number | 1114592557
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Entity Type | Organization
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Legal Business Name | MEDICAL CONSULTANTS OF FLORIDA LLC
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 1395 S STATE ROAD 7 STE 420
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City | WELLINGTON
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State | FL
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Zip | 33414-9327
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Country | US
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Telephone | 561-204-4687
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Fax | 561-204-4694
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Provider Business Mailing Address
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Address Line | PO BOX 4189
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-4189
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Country | US
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Telephone | 561-204-4687
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Fax | 561-204-4694
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAZIN M SHIKARA
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Credential |
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Telephone | 561-779-1652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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