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General NPI Number Information
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NPI Number | 1306374574
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Entity Type | Organization
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Legal Business Name | FIRST PHYSICIANS OF FL., INC.
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 05/31/2017
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Provider Practice Location Address
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Address Line | 5155 N LENA DR
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-4544
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Country | US
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Telephone | 352-559-8591
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Fax | 352-559-8592
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Provider Business Mailing Address
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Address Line | 5155 N LENA DR
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-4544
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Country | US
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Telephone | 352-559-8591
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Fax | 352-559-8592
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. CECILIA E BATO
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Credential | ARNP
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Telephone | 352-559-8591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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