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General NPI Number Information
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NPI Number | 1184209694
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Entity Type | Organization
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Legal Business Name | AUTO INJURY EMS'S OF FLORIDA
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 07/29/2023
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Provider Practice Location Address
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Address Line | 407 LITHIA PINECREST RD
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City | BRANDON
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State | FL
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Zip | 33511-6138
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Country | US
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Telephone | 727-741-0580
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Fax |
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Provider Business Mailing Address
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Address Line | 5174 WOOD CIRCLE E
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City | LAKELAND
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State | FL
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Zip | 33805
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Country | US
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Telephone | 863-316-5363
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK LYNN SMITH
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Credential | APRN, FNP-C
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Telephone | 863-316-5363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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