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General NPI Number Information
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NPI Number | 1336303353
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Entity Type | Organization
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Legal Business Name | PODIATRY NETWORK OF FLORIDA
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 1408 W REYNOLDS ST STE A
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City | PLANT CITY
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State | FL
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Zip | 33563-4361
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Country | US
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Telephone | 813-250-0616
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Fax | 813-642-3098
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Provider Business Mailing Address
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Address Line | 1408 W REYNOLDS ST STE A
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City | PLANT CITY
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State | FL
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Zip | 33563-4361
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Country | US
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Telephone | 813-250-0616
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Fax | 813-642-3098
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT LABOHN
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Credential | D.P.M.
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Telephone | 813-250-0616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | PO1092
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License Number State | FL
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