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General NPI Number Information
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NPI Number | 1245273093
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Entity Type | Organization
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Legal Business Name | HERNANDO PASCO PRIMARY CARE LLC
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1785 NORTHPOINTE PKWY STE 300
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City | LUTZ
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State | FL
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Zip | 33558-5742
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Country | US
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Telephone | 855-536-7277
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Fax | 813-702-1133
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Provider Business Mailing Address
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Address Line | PO BOX 850001, DEPT 8340
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City | ORLANDO
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State | FL
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Zip | 32885-0001
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Country | US
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Telephone | 813-536-7277
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Fax | 855-830-1722
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SANJAY H NAVADIA
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Credential | MD
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Telephone | 727-389-5146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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