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General NPI Number Information
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NPI Number | 1124450077
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Entity Type | Organization
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Legal Business Name | HISPANIC HEALTH ENTERPRISES LLC
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 4990 GOLDEN GATE PKWY
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City | NAPLES
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State | FL
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Zip | 34116-6962
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Country | US
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Telephone | 239-692-8309
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Fax | 239-692-8504
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Provider Business Mailing Address
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Address Line | 4990 GOLDEN GATE PKWY
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City | NAPLES
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State | FL
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Zip | 34116-6962
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Country | US
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Telephone | 239-692-8309
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Fax | 239-692-8504
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Authorized Official
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Title or Position | PRESIDENT
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Name | TABARE D TABAR
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Credential | P.A.
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Telephone | 239-331-9610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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