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General NPI Number Information
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NPI Number | 1639991912
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Entity Type | Organization
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Legal Business Name | EMERGENT PHYSICIANS OF PALMETTO BAY, LLC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 8750 SW 144TH ST STE 100
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City | PALMETTO BAY
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State | FL
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Zip | 33176-7229
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Country | US
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Telephone | 786-595-1850
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Fax |
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Provider Business Mailing Address
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Address Line | 6200 SUNSET DR STE 302
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4829
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Country | US
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Telephone | 786-888-8820
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GABRIELA PICADO
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Credential |
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Telephone | 786-888-8820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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