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General NPI Number Information
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NPI Number | 1558302042
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Entity Type | Organization
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Legal Business Name | FLORIDA HEALTH CARE PLAN, INC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 2450 MASON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-5110
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Country | US
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Telephone | 386-615-4021
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Fax | 386-676-7193
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Provider Business Mailing Address
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Address Line | 2440 MASON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-5110
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Country | US
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Telephone | 386-615-4021
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Fax | 386-676-7193
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Authorized Official
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Title or Position | CFO
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Name | MARIE ATANASOSKI
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Credential |
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Telephone | 386-676-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State | FL
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