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General NPI Number Information
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NPI Number | 1588733315
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Entity Type | Organization
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Legal Business Name | SUNCOAST PODIATRY ASSOC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 3301 SW 34TH CIRCLE SUITE 102
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City | OCALA
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State | FL
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Zip | 34474
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Country | US
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Telephone | 352-861-0444
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Fax | 352-861-0464
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Provider Business Mailing Address
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Address Line | 3301 SW 34TH CIR STE 102
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City | OCALA
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State | FL
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Zip | 34474-6619
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Country | US
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Telephone | 352-861-0444
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Fax | 352-861-0464
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | STEPHEN R MILLER
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Credential | DPM
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Telephone | 352-861-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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