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General NPI Number Information
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NPI Number | 1619169810
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Entity Type | Organization
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Legal Business Name | MEDICAL CONSULTANTS OF FLORIDA, LLC
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1950 W HILLSBORO BLVD STE 103
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1423
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Country | US
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Telephone | 954-408-8960
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Fax | 954-408-8961
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Provider Business Mailing Address
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Address Line | PO BOX 4189
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-4189
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Country | US
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Telephone | 561-932-0995
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAZIN M SHIKARA
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Credential | MD
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Telephone | 561-779-1652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice 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 | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME 94252
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License Number State | FL
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