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General NPI Number Information
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NPI Number | 1588244750
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Entity Type | Organization
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Legal Business Name | OPHELIA MEDICAL GROUP FL, P.A.
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 161 CECIL B MOORE AVE APT 204
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City | PHILADELPHIA
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State | PA
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Zip | 19122-3243
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Country | US
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Telephone | 215-585-2144
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Fax | 267-780-7032
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Provider Business Mailing Address
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Address Line | 228 PARK AVE S STE 15314
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City | NEW YORK
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State | NY
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Zip | 10003-1502
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Country | US
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Telephone | 215-585-2144
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Fax | 267-780-7032
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. ARTHUR R WILLIAMS
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Credential |
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Telephone | 215-585-2144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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