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General NPI Number Information
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NPI Number | 1639415482
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Entity Type | Organization
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Legal Business Name | FLORIDA MEDICAL LINK
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 12/26/2012
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Provider Practice Location Address
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Address Line | 3600 S STATE ROAD 7
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City | MIRAMAR
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State | FL
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Zip | 33023-5200
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Country | US
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Telephone | 954-893-5675
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Fax | 954-981-7816
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Provider Business Mailing Address
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Address Line | 3600 S STATE ROAD 7 SUITE 353
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City | MIRAMAR
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State | FL
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Zip | 33023-5200
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Country | US
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Telephone | 954-893-5675
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Fax | 954-981-7816
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Authorized Official
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Title or Position | MANAGER
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Name | COLIN JACKSON
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Credential |
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Telephone | 954-893-5675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 30211562
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License Number State | FL
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