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NPI 1548308422

NPI 1548308422 : ADRIENNE MARIE FLORCZYK O.D. : CORAL SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1548308422
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    Entity Type          |    Individual 
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    Provider Name        |    ADRIENNE MARIE FLORCZYK O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/02/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    6001 CORAL RIDGE DR 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33076-3306
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    Country              |    US
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    Telephone            |    954-341-2070
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    Fax                  |    954-757-8284
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Provider Business Mailing Address
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    Address Line         |    10731 NW 55TH ST 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33076-2765
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    Country              |    US
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    Telephone            |    954-344-5414
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    Fax                  |    
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    3112
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    License Number State |    FL
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