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General NPI Number Information
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NPI Number | 1679467179
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Entity Type | Organization
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Legal Business Name | ELEMENT MEDICAL OF CAPE CORAL LLC
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 822 DEL PRADO BLVD S STE 120
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City | CAPE CORAL
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State | FL
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Zip | 33990-2687
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Country | US
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Telephone | 239-308-1006
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Fax | 239-308-1007
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Provider Business Mailing Address
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Address Line | 2637 E ATLANTIC BLVD # 1385
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4939
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Country | US
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Telephone | 239-308-1006
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Fax | 239-308-1007
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DAVID PHILLIPS
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Credential | DO
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Telephone | 239-308-1006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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