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General NPI Number Information
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NPI Number | 1477326908
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Entity Type | Organization
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Legal Business Name | APOLLO MEDICAL GROUP OF OCALA LLC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 3241 SW 34TH ST
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City | OCALA
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State | FL
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Zip | 34474-7439
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Country | US
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Telephone | 352-237-5906
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Fax |
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Provider Business Mailing Address
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Address Line | 13503 5TH AVE NE
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City | BRADENTON
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State | FL
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Zip | 34212-2739
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Country | US
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Telephone | 941-725-1198
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Fax |
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Authorized Official
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Title or Position | MEMBER, MANAGING PARTNER
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Name | AYMAN ELFAR
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Credential | MD
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Telephone | 812-455-7798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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