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NPI 1366925570

NPI 1366925570 : OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST P.A. : LAKELAND, FL

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General NPI Number Information
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    NPI Number           |    1366925570
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    Entity Type          |    Organization 
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    Legal Business Name  |    OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST P.A. 
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Dates
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    Enumeration Date     |    09/13/2018
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    Last Update Date     |    06/20/2025
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Provider Practice Location Address
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    Address Line         |    5141 US HIGHWAY 98 N 
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    City                 |    LAKELAND
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    State                |    FL
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    Zip                  |    33809-0514
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    Country              |    US
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    Telephone            |    863-533-7525
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    Fax                  |    863-815-5284
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Provider Business Mailing Address
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    Address Line         |    5080 SPECTRUM DR STE 1200W 
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    City                 |    ADDISON
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    State                |    TX
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    Zip                  |    75001-4624
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    Country              |    US
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    Telephone            |    972-364-8000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     ROBERT G HASSETT 
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    Credential           |    DO
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    Telephone            |    972-364-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service 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        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy 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        |    261QX0100X
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    Taxonomy Name        |    Occupational Medicine Clinic/Center
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    License Number       |    
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    License Number State |    
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