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General NPI Number Information
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NPI Number | 1205002516
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Entity Type | Organization
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Legal Business Name | PHYSIMED, P.A.
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 800 ZEAGLER DR STE 610
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City | PALATKA
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State | FL
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Zip | 32177-3883
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Country | US
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Telephone | 386-325-8525
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Fax | 386-325-8526
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Provider Business Mailing Address
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Address Line | 800 ZEAGLER DR STE 610
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City | PALATKA
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State | FL
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Zip | 32177-3883
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Country | US
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Telephone | 386-325-8525
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Fax | 386-325-8526
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT R SILVERA
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Credential | M.D.
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Telephone | 386-325-8525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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