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General NPI Number Information
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NPI Number | 1609304849
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Entity Type | Organization
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Legal Business Name | INFECTIOUS DISEASE CONSULTANTS OF WEST FLORIDA LLC
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 4710 N HABANA AVE STE 200
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City | TAMPA
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State | FL
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Zip | 33614-7146
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Country | US
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Telephone | 813-450-3457
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Fax | 877-235-3648
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Provider Business Mailing Address
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Address Line | 4710 N HABANA AVE STE 200
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City | TAMPA
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State | FL
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Zip | 33614-7146
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Country | US
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Telephone | 813-450-3457
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Fax | 877-235-3648
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANIL CHOPRA
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Credential | MD
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Telephone | 312-402-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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