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General NPI Number Information
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NPI Number | 1194701375
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Entity Type | Organization
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Legal Business Name | FLORIDA LUNG SPECIALISTS, PA
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 1588 CITRUS MEDICAL COURT
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City | OCOEE
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State | FL
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Zip | 34761-4547
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Country | US
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Telephone | 407-733-0275
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Fax | 407-435-9671
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Provider Business Mailing Address
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Address Line | 1588 CITRUS MEDICAL COURT
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City | OCOEE
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State | FL
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Zip | 34761-4547
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Country | US
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Telephone | 407-733-0275
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Fax | 407-435-9671
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Authorized Official
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Title or Position | PRACTITIONER MD
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Name | DR. SHAHID SAMY
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Credential | MD
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Telephone | 407-733-0275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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