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General NPI Number Information
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NPI Number | 1487528428
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Entity Type | Organization
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Legal Business Name | P-3 MEDICAL INC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 766 N SUN DR STE 1060
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City | LAKE MARY
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State | FL
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Zip | 32746-2552
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Country | US
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Telephone | 407-361-7565
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Fax |
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Provider Business Mailing Address
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Address Line | 315 W BLUE WATER EDGE
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City | EUSTIS
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State | FL
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Zip | 32736
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Country | US
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Telephone | 407-361-7565
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATTY POLLEY
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Credential | LPN
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Telephone | 407-361-7565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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