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General NPI Number Information
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NPI Number | 1356498364
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Entity Type | Organization
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Legal Business Name | SURGICAL ONCOLOGY OF SOUTH PALM BEACH PA
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 875 MEADOWS RD SUITE #331
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City | BOCA RATON
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State | FL
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Zip | 33486-2349
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Country | US
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Telephone | 561-347-5656
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Fax |
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Provider Business Mailing Address
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Address Line | 714 COQUINA CT
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City | BOCA RATON
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State | FL
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Zip | 33432-3004
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Country | US
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Telephone | 561-392-6220
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEE ALAN PORTERFIELD
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Credential | M.D.
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Telephone | 561-395-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | ME35565
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License Number State | FL
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