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General NPI Number Information
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NPI Number | 1164252235
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Entity Type | Organization
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Legal Business Name | EPIC MEDICAL CARE, LLC
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 3050 1ST AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33712-1010
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Country | US
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Telephone | 727-328-6420
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Fax | 727-328-6421
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Provider Business Mailing Address
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Address Line | 5342 CLARK RD STE 117
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City | SARASOTA
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State | FL
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Zip | 34233-3227
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Country | US
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Telephone | 727-328-6420
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SUPERVISOR
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Name | CAROL HILL
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Credential |
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Telephone | 941-552-7686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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