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NPI 1386435329

NPI 1386435329 : AURORA RESEARCH CENTER, CORP : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1386435329
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    Entity Type          |    Organization 
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    Legal Business Name  |    AURORA RESEARCH CENTER, CORP 
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Dates
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    Enumeration Date     |    05/16/2025
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    Last Update Date     |    05/16/2025
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Provider Practice Location Address
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    Address Line         |    2715 W SLIGH AVE 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33614-4343
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    Country              |    US
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    Telephone            |    813-444-1600
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    Fax                  |    813-295-8029
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Provider Business Mailing Address
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    Address Line         |    8809 W HAMILTON AVE 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33615-2723
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    Country              |    US
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    Telephone            |    813-444-1600
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    Fax                  |    813-295-8029
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ANISLEY  LANZA DIAZ 
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    Credential           |    RN
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    Telephone            |    813-403-2567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WM1400X
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    Taxonomy Name        |    Nurse Massage Therapist (NMT)
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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        |    261QP3300X
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    Taxonomy Name        |    Pain Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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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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