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General NPI Number Information
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NPI Number | 1376120477
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Entity Type | Organization
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Legal Business Name | AGAPE HEALTH MEDICAL CENTER LLC
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 90130 OLD HWY # B
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City | TAVERNIER
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State | FL
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Zip | 33070-2368
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Country | US
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Telephone | 305-852-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 101425 OVERSEAS HWY # 245
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City | KEY LARGO
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State | FL
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Zip | 33037-4505
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHERRY GOODWYN
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Credential | LPN
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Telephone | 305-852-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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