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General NPI Number Information
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NPI Number | 1548657216
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Entity Type | Organization
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Legal Business Name | FLORIDA SURGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1447 MEDICAL PARK BLVD SUITE 101
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City | WELLINGTON
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State | FL
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Zip | 33414-3164
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Country | US
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Telephone | 561-844-0120
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Fax | 561-844-0570
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Provider Business Mailing Address
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Address Line | 8185 VIA ANCHO RD UNIT 880347
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City | BOCA RATON
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State | FL
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Zip | 33488-2020
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Country | US
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Telephone | 646-868-8279
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Fax | 646-891-4551
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMOS O DARE
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Credential | M.D.
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Telephone | 646-868-8279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME91254
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License Number State | FL
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