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General NPI Number Information
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NPI Number | 1154679124
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Entity Type | Organization
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Legal Business Name | FLORIDA MEDICAL SPECIALISTS LLC
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Dates
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Enumeration Date | 08/24/2012
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 3844 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34233-1163
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Country | US
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Telephone | 941-315-6198
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Fax | 941-371-1393
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Provider Business Mailing Address
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Address Line | PO BOX 25487
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City | SARASOTA
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State | FL
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Zip | 34277-2487
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Country | US
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Telephone | 941-371-2500
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Fax | 941-917-1221
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | INTIA BEDI
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Credential |
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Telephone | 941-284-5448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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