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General NPI Number Information
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NPI Number | 1407575897
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Entity Type | Organization
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Legal Business Name | CORNERSTONE HEALTHCARE SERVICES OF FLORIDA
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 360 CENTRAL AVE STE 800
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3984
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Country | US
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Telephone | 941-283-8690
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Fax | 941-283-8680
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Provider Business Mailing Address
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Address Line | 8350 BEE RIDGE RD # 169
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City | SARASOTA
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State | FL
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Zip | 34241-6312
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Country | US
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Telephone | 941-283-8690
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | BILLY HODGES
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Credential |
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Telephone | 941-283-8690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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