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General NPI Number Information
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NPI Number | 1649353665
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Entity Type | Organization
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Legal Business Name | SUNSHINE ANESTHESIA PL
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7431 GLADIOLUS DR
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City | FORT MYERS
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State | FL
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Zip | 33908
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Country | US
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Telephone | 239-689-7000
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Fax | 239-689-7007
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Provider Business Mailing Address
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Address Line | 7159 COTTONTAIL CT
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City | FORT MYERS
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State | FL
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Zip | 33908-5501
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Country | US
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Telephone | 239-489-3166
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Fax | 239-489-3166
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY M LENTZ
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Credential | MD
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Telephone | 239-489-3166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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