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General NPI Number Information
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NPI Number | 1548063332
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Entity Type | Organization
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Legal Business Name | CSMLT LLC
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1000 TYRONE BLVD N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33710-6309
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Country | US
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Telephone | 785-224-9743
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Fax |
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Provider Business Mailing Address
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Address Line | 15257 AMBERLY DR STE 157
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City | TAMPA
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State | FL
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Zip | 33647-2155
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Country | US
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Telephone | 785-224-9743
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | GENEVA LYNN TONUZI
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Credential | MD
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Telephone | 785-224-9743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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