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General NPI Number Information
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NPI Number | 1386426484
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Entity Type | Organization
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Legal Business Name | GO MEDICAL CLINIC LLC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 7345 JACKSON SPRINGS RD # C-2
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City | TAMPA
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State | FL
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Zip | 33634-4754
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Country | US
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Telephone | 813-549-2940
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Fax | 813-549-2942
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Provider Business Mailing Address
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Address Line | 7345 JACKSON SPRINGS RD STE C-2
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City | TAMPA
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State | FL
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Zip | 33634-4754
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Country | US
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Telephone | 813-549-2940
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Fax | 813-549-2952
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | CYNTHIA LAYTON
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Credential |
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Telephone | 210-442-9192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | 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 | 261QP2300X
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Taxonomy Name | Primary Care 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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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