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General NPI Number Information
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NPI Number | 1669382131
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Entity Type | Organization
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Legal Business Name | ADVENTHEALTH PORT CHARLOTTE INC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 1201 JACARANDA BLVD
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City | VENICE
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State | FL
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Zip | 34292-4519
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Country | US
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Telephone | 941-486-6027
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 931238
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City | ATLANTA
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State | GA
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Zip | 31193-1238
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CHRISTOPHER LAWRENCE
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Credential |
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Telephone | 909-503-5223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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