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General NPI Number Information
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NPI Number | 1285193243
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Entity Type | Organization
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Legal Business Name | OASIS URGENT CARE, PLLC
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 3164 PALM BEACH BLVD
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City | FORT MYERS
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State | FL
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Zip | 33916-1579
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Country | US
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Telephone | 239-590-8399
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Fax | 239-264-4982
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Provider Business Mailing Address
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Address Line | 3164 PALM BEACH BLVD STE 104-D
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City | FORT MYERS
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State | FL
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Zip | 33916-1579
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Country | US
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Telephone | 239-285-6649
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Fax | 239-264-4982
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MR. JOSE M ALMANZAR I
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Credential | PA
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Telephone | 239-285-6649
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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