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General NPI Number Information
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NPI Number | 1265671333
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Entity Type | Organization
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Legal Business Name | HEALTH FIRST PHYSICIAN SPECIALTIES INC
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1350 HICKORY ST TRAUMA PROVIDERS
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City | MELBOURNE
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State | FL
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Zip | 32901-3224
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Country | US
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Telephone | 321-434-1401
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Fax | 321-434-1667
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Provider Business Mailing Address
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Address Line | PO BOX 561530
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City | ROCKLEDGE
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State | FL
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Zip | 32956-1530
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Country | US
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Telephone | 321-434-4674
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Fax | 321-434-4642
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Authorized Official
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Title or Position | VP REVENUE OPERATIONS
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Name | SHAUN RONAN
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Credential |
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Telephone | 321-434-5482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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