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General NPI Number Information
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NPI Number | 1245249655
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Entity Type | Organization
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Legal Business Name | PREMIER FAMILY HEALTH
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 1037 S STATE ROAD 7 SUITE 211
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City | WELLINGTON
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State | FL
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Zip | 33414-6138
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Country | US
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Telephone | 561-798-3030
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Fax | 561-798-8242
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 561-798-3030
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Fax | 561-798-8242
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. VINCENT MICHAEL APICELLA
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Credential | D.O.
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Telephone | 561-798-3030
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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 | OS8748
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License Number State | FL
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