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General NPI Number Information
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NPI Number | 1295281467
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Entity Type | Organization
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Legal Business Name | FLORIDA DIABETES AND ENDOCRINE ASSOCIATES LLC
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 7001 N DALE MABRY HWY STE 2
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City | TAMPA
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State | FL
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Zip | 33614-3910
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Country | US
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Telephone | 813-252-9849
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Fax | 813-569-2455
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Provider Business Mailing Address
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Address Line | 7001 N DALE MABRY HWY STE 2
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City | TAMPA
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State | FL
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Zip | 33614-3910
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Country | US
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Telephone | 813-252-9849
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Fax | 813-569-2455
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Authorized Official
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Title or Position | OWNER
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Name | DR. SONAL J PATEL
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Credential | MD
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Telephone | 813-252-9849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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