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NPI 1558257121

NPI 1558257121 : BENDAR WOUND CARE LLC : APOPKA, FL

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General NPI Number Information
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    NPI Number           |    1558257121
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    Entity Type          |    Organization 
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    Legal Business Name  |    BENDAR WOUND CARE LLC 
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Dates
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    Enumeration Date     |    06/17/2025
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    907 SABAL BREEZE LN 
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    City                 |    APOPKA
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    State                |    FL
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    Zip                  |    32703-6242
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    Country              |    US
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    Telephone            |    727-685-7301
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    907 SABAL BREEZE LN 
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    City                 |    APOPKA
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    State                |    FL
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    Zip                  |    32703-6242
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BENJAMIN I ISRAEL 
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    Credential           |    
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    Telephone            |    727-685-7301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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