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General NPI Number Information
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NPI Number | 1356470744
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Entity Type | Organization
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Legal Business Name | ENGLEWOOD PEDIATRICS, P.A.
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 3670 N ACCESS RD
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City | ENGLEWOOD
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State | FL
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Zip | 34224-8888
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Country | US
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Telephone | 941-474-5093
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Fax | 941-474-9049
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Provider Business Mailing Address
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Address Line | 3670 N ACCESS RD
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City | ENGLEWOOD
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State | FL
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Zip | 34224-8888
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Country | US
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Telephone | 941-474-5093
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Fax | 941-474-9049
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAHAB EUNUS
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Credential | M.D.
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Telephone | 941-474-5093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 800002855
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 0059964
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0059964
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License Number State | FL
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