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General NPI Number Information
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NPI Number | 1457050106
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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 | 03/01/2023
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 13691 METRO PKWY STE 400
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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 | 239-416-8101
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Fax | 877-894-6707
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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 | 239-416-8101
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Fax | 877-894-6707
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Authorized Official
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Title or Position | SVP, ADMINISTRATION
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Name | MR. LAWRENCE MARONE
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Credential |
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Telephone | 941-626-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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