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General NPI Number Information
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NPI Number | 1427359819
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Entity Type | Organization
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Legal Business Name | MOLECULAR IMAGING OF FLORIDA PLLC
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 95 VIVANTE BLVD UNIT 9526
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City | PUNTA GORDA
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State | FL
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Zip | 33950-2029
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Country | US
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Telephone | 347-804-2249
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Fax |
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Provider Business Mailing Address
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Address Line | 95 VIVANTE BLVD UNIT 9526
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City | PUNTA GORDA
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State | FL
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Zip | 33950-2029
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Country | US
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Telephone | 347-804-2249
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ASAD NASIR
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Credential | M.D.
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Telephone | 347-804-2249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME104259
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License Number State | FL
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