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General NPI Number Information
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NPI Number | 1225378516
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Entity Type | Organization
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Legal Business Name | JOHN BANCROFT HYLTON M.D,P.A
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 12323 SW 55TH ST SUITE 1003
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City | COOPER CITY
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State | FL
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Zip | 33330-3312
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Country | US
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Telephone | 954-252-0083
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Fax | 954-252-0207
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Provider Business Mailing Address
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Address Line | 12323 SW 55TH ST SUITE 1003
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City | COOPER CITY
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State | FL
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Zip | 33330-3312
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Country | US
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Telephone | 954-252-0083
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Fax | 954-252-0207
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN BANCROFT HYLTON
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Credential | M.D.
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Telephone | 954-252-0083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME0060538
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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