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General NPI Number Information
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NPI Number | 1326386293
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Entity Type | Organization
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Legal Business Name | FLORIDA MEDICAL PRACTICE PLAN INC
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 2911 ROBERTS AVE
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City | TALLAHASSEE
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State | FL
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Zip | 32310-5007
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Country | US
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Telephone | 850-644-1543
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Fax | 855-230-7421
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Provider Business Mailing Address
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Address Line | 2911 ROBERTS AVE
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City | TALLAHASSEE
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State | FL
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Zip | 32310-5007
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Country | US
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Telephone | 850-644-1542
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Fax | 855-230-7421
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Authorized Official
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Title or Position | DEAN
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Name | ALMA B LITTLES
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Credential | MD
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Telephone | 850-644-5024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | FL
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