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General NPI Number Information
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NPI Number | 1215332416
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Entity Type | Organization
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Legal Business Name | HYPERFLOW MEDICAL, LLC
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 13506 SUMMERPORT VILLAGE PKWY SUITE 811
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City | WINDERMERE
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State | FL
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Zip | 34786-7366
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Country | US
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Telephone | 407-353-7098
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Fax |
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Provider Business Mailing Address
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Address Line | 13506 SUMMERPORT VILLAGE PKWY SUITE 811
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City | WINDERMERE
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State | FL
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Zip | 34786-7366
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Country | US
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Telephone | 407-353-7098
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTONIO N FERNANDEZ
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Credential | MD
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Telephone | 407-353-7098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME91190
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License Number State | FL
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