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General NPI Number Information
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NPI Number | 1225923667
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Entity Type | Organization
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Legal Business Name | SFP PC HOLDINGS, INC.
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 106 PARK PLACE BLVD STE C
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City | DAVENPORT
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State | FL
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Zip | 33837-6868
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Country | US
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Telephone | 863-588-4775
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Fax | 863-422-7664
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Provider Business Mailing Address
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Address Line | PO BOX 878
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City | DAVENPORT
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State | FL
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Zip | 33836-0878
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Country | US
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Telephone | 689-223-3898
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Fax | 689-223-3898
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Authorized Official
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Title or Position | COO
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Name | DAVID ROMANELLO
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Credential |
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Telephone | 352-459-3661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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