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General NPI Number Information
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NPI Number | 1497828065
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Entity Type | Organization
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Legal Business Name | PANACEA INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 944 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4409
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Country | US
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Telephone | 305-247-4488
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Fax | 305-248-8375
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Provider Business Mailing Address
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Address Line | 944 N KROME AVENUE
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City | HOMESTEAD
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State | FL
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Zip | 33030
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Country | US
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Telephone | 305-247-4488
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Fax | 305-248-8375
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Authorized Official
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Title or Position | OWNER, CEO
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Name | FRANCINE U CONDO
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Credential |
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Telephone | 305-247-4488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PH471
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH471
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License Number State | FL
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