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General NPI Number Information
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NPI Number | 1609752989
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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 | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2655 LPGA BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32124-2075
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Country | US
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Telephone | 386-974-7255
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Fax |
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Provider Business Mailing 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 | 386-615-5008
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Fax | 386-615-5008
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Authorized Official
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Title or Position | CMO
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Name | DR. CHRISTOPHER JOSEPH SMITH
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Credential |
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Telephone | 386-615-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number |
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License Number State |
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