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General NPI Number Information
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NPI Number | 1649589037
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Entity Type | Organization
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Legal Business Name | FORZA MEDICIAL GROUP
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Dates
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Enumeration Date | 10/01/2010
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Last Update Date | 10/01/2010
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Provider Practice Location Address
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Address Line | 8433 FOREST HILLS DR SUITE 301
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5481
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Country | US
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Telephone | 954-755-9079
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Fax |
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Provider Business Mailing Address
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Address Line | 8433 FOREST HILLS DR SUITE 301
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5481
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Country | US
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Telephone | 954-755-9079
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. GABRIEL FORZAANO
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Credential | D.O.M.
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Telephone | 954-755-9079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AP2889
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License Number State | FL
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