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General NPI Number Information
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NPI Number | 1134437239
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Entity Type | Organization
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Legal Business Name | DANTE V NUZZO MD PA
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 26540 ACE AVE STE H103
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City | LEESBURG
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State | FL
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Zip | 34748-8279
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Country | US
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Telephone | 352-323-4800
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Fax | 352-323-9103
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Provider Business Mailing Address
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Address Line | 27615 HWY 27 SUITE 109 #308
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City | LEESBURG
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State | FL
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Zip | 34748
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Country | US
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Telephone | 352-323-4800
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Fax | 352-323-9103
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANTE V NUZZO
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Credential | MD
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Telephone | 352-323-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0061619
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License Number State | FL
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