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General NPI Number Information
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NPI Number | 1487045100
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Entity Type | Organization
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Legal Business Name | PUTNAM COMMUNITY MEDICAL CENTER OF NORTH FLORIDA, LLC
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Dates
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Enumeration Date | 02/17/2015
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 611 ZEAGLER DR
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City | PALATKA
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State | FL
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Zip | 32177-3810
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Country | US
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Telephone | 386-328-5711
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Fax | 386-325-8178
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Provider Business Mailing Address
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Address Line | 1 PARK PLZ
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City | NASHVILLE
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State | TN
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Zip | 37203-6527
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Country | US
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Telephone | 615-344-9551
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Fax | 615-344-1600
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Authorized Official
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Title or Position | CFO
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Name | PHILIP PRUITT
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Credential |
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Telephone | 386-328-5711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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