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General NPI Number Information
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NPI Number | 1326667080
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Entity Type | Organization
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Legal Business Name | OHMEDICA, PA
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 400 4TH AVE S APT 1110
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4624
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Country | US
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Telephone | 813-344-9230
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Fax |
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Provider Business Mailing Address
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Address Line | 12929 ROYAL GEORGE AVE
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City | ODESSA
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State | FL
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Zip | 33556-5710
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Country | US
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Telephone | 813-344-9230
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MIGUEL DAVID ATTIAS
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Credential | MD
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Telephone | 813-344-9230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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