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General NPI Number Information
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NPI Number | 1487789038
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA COMMUNITY COLLEGE
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 W COLLEGE DR
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City | AVON PARK
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State | FL
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Zip | 33825-9348
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Country | US
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Telephone | 863-784-7123
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Fax | 863-453-6656
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Provider Business Mailing Address
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Address Line | 600 W COLLEGE DR
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City | AVON PARK
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State | FL
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Zip | 33825-9356
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Country | US
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Telephone | 863-784-7123
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Fax | 863-453-6656
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Authorized Official
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Title or Position | CONTROLLER
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Name | ANITA KOVACS
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Credential | CPA
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Telephone | 863-784-7123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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