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General NPI Number Information
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NPI Number | 1467388363
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Entity Type | Organization
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Legal Business Name | PAX CARDIOVASCULAR SPECIALISTS LLC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 101 4TH AVE STE D
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City | CRESTVIEW
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State | FL
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Zip | 32539-2401
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Country | US
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Telephone | 850-281-3324
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Fax |
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Provider Business Mailing Address
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Address Line | 4945 CASTAYLS
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City | PENSACOLA
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State | FL
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Zip | 32504-9022
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Country | US
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Telephone | 850-281-3324
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VISHAL GUJRAL
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Credential | MD
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Telephone | 850-281-3324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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