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General NPI Number Information
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NPI Number | 1336170992
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Entity Type | Organization
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Legal Business Name | FLORIDA HOSPITALIST ASSOCIATES LLC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 600 E DIXIE AVE
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City | LEESBURG
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State | FL
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Zip | 34748-5925
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Country | US
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Telephone | 407-351-2757
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Fax | 407-351-9139
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Provider Business Mailing Address
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Address Line | PO BOX 691884
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City | ORLANDO
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State | FL
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Zip | 32869-1884
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Country | US
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Telephone | 407-351-2757
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Fax | 407-351-9139
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FARIBORZ DELBAKHSH
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Credential | M.D.
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Telephone | 407-351-2757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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