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General NPI Number Information
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NPI Number | 1598198509
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Entity Type | Organization
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Legal Business Name | MID FLORIDA PHYSICAL MEDICINE
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 5808 OLD PASCO RD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-4011
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Country | US
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Telephone | 352-255-4708
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 BRUCE B DOWNS BLVD SUITE #338
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9262
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Country | US
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Telephone | 352-255-4708
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ASMA SYED
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Credential | M.D.
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Telephone | 813-907-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME90312
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License Number State | FL
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