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NPI 1437917515

NPI 1437917515 : SOUTH FLORIDA TRAUMA AND ACUTE CARE SURGERY PLLC : MANGONIA PARK, FL

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General NPI Number Information
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    NPI Number           |    1437917515
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOUTH FLORIDA TRAUMA AND ACUTE CARE SURGERY PLLC 
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Dates
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    Enumeration Date     |    03/12/2024
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    901 45TH ST 
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    City                 |    MANGONIA PARK
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    State                |    FL
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    Zip                  |    33407-2413
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    Country              |    US
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    Telephone            |    561-844-6300
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    Fax                  |    702-977-1496
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Provider Business Mailing Address
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    Address Line         |    2560 RCA BLVD STE 106 
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    City                 |    PALM BEACH GARDENS
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    State                |    FL
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    Zip                  |    33410-3336
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    Country              |    US
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    Telephone            |    561-799-9559
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    Fax                  |    702-977-1496
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. ADAM JOSEPH MANN 
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    Credential           |    MD
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    Telephone            |    561-799-9559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2086S0102X
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    Taxonomy Name        |    Surgical Critical Care Physician
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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        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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