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General NPI Number Information
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NPI Number | 1487970810
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Entity Type | Organization
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Legal Business Name | FAMILY PHYSICIANS OF SOUTH FLORIDA
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 04/12/2010
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Provider Practice Location Address
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Address Line | 2001 N FEDERAL HWY SUITE 301-303
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1030
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Country | US
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Telephone | 954-942-2922
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Fax | 954-942-5352
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Provider Business Mailing Address
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Address Line | 1955 N FEDERAL HWY SUITE 301
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1028
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Country | US
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Telephone | 954-942-2922
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Fax | 954-942-5352
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT S ANSARA
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Credential | MD
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Telephone | 954-942-2922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME10062
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License Number State | FL
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