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General NPI Number Information
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NPI Number | 1497103923
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Entity Type | Individual
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Provider Name | ISRAEL CHRISTOPHER UGALDE D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1399 HAMLET AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-3331
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Country | US
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Telephone | 727-441-4526
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 917770
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City | ORLANDO
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State | FL
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Zip | 32891-0001
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Country | US
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Telephone | 813-821-8038
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Fax | 813-974-0483
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | OS15811
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS15811
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | OS15811
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License Number State | FL
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