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General NPI Number Information
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NPI Number | 1164568275
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Entity Type | Organization
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Legal Business Name | HEALTHFLO MEDICAL CLINICS INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 34498 CORTEZ BLVD
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City | RIDGE MANOR
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State | FL
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Zip | 33523-8908
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Country | US
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Telephone | 352-583-4520
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Fax | 352-583-5527
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Provider Business Mailing Address
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Address Line | 34498 CORTEZ BLVD
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City | RIDGE MANOR
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State | FL
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Zip | 33523-8908
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Country | US
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Telephone | 352-583-4520
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Fax | 352-583-5527
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | BASIM AHMED
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Credential |
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Telephone | 352-568-1988
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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 | ME0066026
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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