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General NPI Number Information
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NPI Number | 1316357312
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Entity Type | Organization
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Legal Business Name | MED FAMILY CARE PLLC
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 3600 NW 43RD ST SUITE D-2
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City | GAINESVILLE
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State | FL
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Zip | 32606
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Country | US
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Telephone | 352-872-5755
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Fax | 352-872-5102
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Provider Business Mailing Address
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Address Line | 3600 NW 43RD ST SUITE D-2
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City | GAINESVILLE
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State | FL
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Zip | 32606-8137
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Country | US
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Telephone | 787-363-3790
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ISABEL RODRIGUEZ
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Credential | M.D.
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Telephone | 787-363-3790
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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 | ACN441
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License Number State | FL
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