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General NPI Number Information
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NPI Number | 1124228143
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Entity Type | Organization
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Legal Business Name | FLORIDA OPHTHALMIC INSTITUTE INC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/17/2012
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Provider Practice Location Address
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Address Line | 7106 NW 11TH PL SUITE B
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City | GAINESVILLE
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State | FL
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Zip | 32605-3140
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Country | US
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Telephone | 352-331-2020
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Fax | 352-331-2019
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Provider Business Mailing Address
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Address Line | 7106 NW 11TH PL SUITE B
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City | GAINESVILLE
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State | FL
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Zip | 32605-3140
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Country | US
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Telephone | 352-331-2020
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Fax | 352-331-2019
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Authorized Official
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Title or Position | DIRECTOR
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Name | NORMAN S LEVY
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Credential | M.D.
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Telephone | 352-331-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME15224
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License Number State | FL
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