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General NPI Number Information
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NPI Number | 1174241335
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Entity Type | Organization
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Legal Business Name | METRO TREATMENT OF FLORIDA, LP
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 2209 NW 13TH ST
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City | GAINESVILLE
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State | FL
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Zip | 32609-3426
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Country | US
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Telephone | 352-474-5150
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Fax | 352-293-2506
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Provider Business Mailing Address
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Address Line | ATTN: COLONIAL MANAGEMENT GROUP LP LOCKBOX #440133 P. O. BOX 440133
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City | NASHVILLE
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State | TN
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Zip | 37244
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Country | US
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Telephone | 407-351-7080
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Fax | 407-351-6930
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Authorized Official
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Title or Position | REGIONAL DIRECTOR PAYOR RELATIONS
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Name | HECTOR ROSADO
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Credential |
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Telephone | 407-351-7080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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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 | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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