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General NPI Number Information
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NPI Number | 1386438448
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Entity Type | Organization
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Legal Business Name | FLORIDA FEDERAL DOCTORS & DOL SERVICES
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 12197 W LINEBAUGH AVE
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City | TAMPA
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State | FL
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Zip | 33626-1732
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Country | US
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Telephone | 813-855-0001
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Fax | 813-855-0008
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Provider Business Mailing Address
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Address Line | 12197 W LINEBAUGH AVE
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City | TAMPA
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State | FL
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Zip | 33626-1732
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Country | US
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Telephone | 813-855-0001
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Fax | 813-855-0008
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. CHRISTINE ROGERS
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Credential | DC
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Telephone | 813-774-5755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 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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