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General NPI Number Information
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NPI Number | 1215993514
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Entity Type | Individual
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Provider Name | MICHAEL H LINK MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 461 W OAK ST STE A
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City | KISSIMMEE
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State | FL
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Zip | 34741-6624
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Country | US
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Telephone | 407-846-8600
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Fax | 407-846-2301
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Provider Business Mailing Address
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Address Line | 10051 5TH ST N STE 200
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2211
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Country | US
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Telephone | 727-824-0780
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Fax | 727-568-6011
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0036738
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License Number State | FL
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