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General NPI Number Information
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NPI Number | 1427880723
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Entity Type | Organization
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Legal Business Name | PRECISION HEALTHCARE SPECIALISTS, LLC
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 13691 METRO PKWY STE 430
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City | FORT MYERS
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State | FL
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Zip | 33912-4349
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Country | US
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Telephone | 239-374-5224
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Fax |
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Provider Business Mailing Address
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Address Line | 6321 DANIELS PKWY STE 200
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City | FORT MYERS
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State | FL
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Zip | 33912-4710
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Country | US
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Telephone | 239-374-5224
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Fax |
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Authorized Official
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Title or Position | VP OF PHARMACY SERVICES
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Name | MICHAEL LARREA
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Credential | PHARMD
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Telephone | 239-374-5223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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