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General NPI Number Information
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NPI Number | 1215727813
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Entity Type | Organization
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Legal Business Name | NOVOPHARM OF TAMPA LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 5730 CORPORATE WAY STE 130
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2032
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Country | US
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Telephone | 813-374-9345
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Fax | 813-336-3401
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Provider Business Mailing Address
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Address Line | 5404 HOOVER BLVD STE 22
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City | TAMPA
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State | FL
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Zip | 33634-5351
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Country | US
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Telephone | 813-374-9345
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Fax | 813-336-3401
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | SERGIO RODRIGUEZ
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Credential |
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Telephone | 813-374-9345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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