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General NPI Number Information
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NPI Number | 1295601391
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Entity Type | Organization
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Legal Business Name | BLADDER INSTITUTE OF FLORIDA, LLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 539 ROLLING ACRES RD
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City | LADY LAKE
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State | FL
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Zip | 32159-5047
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Country | US
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Telephone | 407-342-5842
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Fax |
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Provider Business Mailing Address
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Address Line | 16912 W PHIL C PETERS RD
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City | WINTER GARDEN
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State | FL
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Zip | 34787-9328
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Country | US
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Telephone | 407-342-5842
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DONALD JEFFERY SAPP
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Credential | PHD
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Telephone | 407-342-5842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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