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General NPI Number Information
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NPI Number | 1427241025
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Entity Type | Organization
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Legal Business Name | AC MEDICAL CARE PL
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 4698 FOREST HILL BLVD SUITE B
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-5719
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Country | US
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Telephone | 561-969-3435
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Fax | 561-969-3107
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Provider Business Mailing Address
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Address Line | 4698 FOREST HILL BLVD STE B
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-5719
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Country | US
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Telephone | 561-969-3435
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Fax | 561-969-3107
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Authorized Official
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Title or Position | OWNER
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Name | ANDRE CELESTIN
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Credential |
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Telephone | 561-969-3435
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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 | ME83638
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License Number State | FL
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