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General NPI Number Information
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NPI Number | 1114894813
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Entity Type | Organization
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Legal Business Name | WEST PALM UVC MEDICAL PLLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1900 GLADES RD STE 100
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City | BOCA RATON
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State | FL
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Zip | 33431-7333
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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 | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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