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General NPI Number Information
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NPI Number | 1669400347
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Entity Type | Organization
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Legal Business Name | DOCTOR TODAY TLC, LLC
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 3810 S FLORIDA AVE STE 120
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City | LAKELAND
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State | FL
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Zip | 33813-1129
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Country | US
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Telephone | 863-858-8000
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Fax | 877-531-4854
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Provider Business Mailing Address
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Address Line | 3810 S FLORIDA AVE SUIT# A1
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City | LAKELAND
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State | FL
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Zip | 33813-1105
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Country | US
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Telephone | 863-619-5100
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Fax | 863-619-5102
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Authorized Official
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Title or Position | PRESIDANT
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Name | MRS. REKHA ISSAR
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Credential | M.D.
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Telephone | 863-619-5100
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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 |
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License Number State |
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