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General NPI Number Information
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NPI Number | 1477708428
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Entity Type | Organization
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Legal Business Name | MICHAEL SCHLOFMAN O.D P.L.L.C.
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 1105 S WALNUT ST
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City | STARKE
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State | FL
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Zip | 32091-4413
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Country | US
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Telephone | 904-964-8076
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | STARKE
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State | FL
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Zip | 32091-0190
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHAEL L SCHLOFMAN
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Credential | O.D.
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Telephone | 352-745-1374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC4299
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License Number State | FL
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