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General NPI Number Information
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NPI Number | 1174827919
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Entity Type | Organization
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Legal Business Name | FELIX ANTHONY SOSA MD PA
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 780 E MERRITT ISLAND CSWY STE 6C
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3562
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Country | US
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Telephone | 321-631-5555
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Fax | 321-262-0836
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Provider Business Mailing Address
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Address Line | 780 E MERRITT ISLAND CSWY STE 6C
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3562
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Country | US
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Telephone | 321-631-5555
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Fax | 321-262-0836
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Authorized Official
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Title or Position | PRESIDENT
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Name | FELIX ANTHONY SOSA
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Credential | M.D.
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Telephone | 321-631-5555
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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 | ME0066702
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License Number State | FL
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