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General NPI Number Information
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NPI Number | 1689539793
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Entity Type | Organization
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Legal Business Name | BM MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 12/20/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 199 AVENUE B NW STE 205-3
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City | WINTER HAVEN
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State | FL
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Zip | 33881-4546
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Country | US
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Telephone | 863-289-7081
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Fax |
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Provider Business Mailing Address
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Address Line | 709 LAMP POST LN
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City | LAKELAND
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State | FL
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Zip | 33809-6614
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Country | US
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Telephone | 863-289-7081
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BERNARDO MALAGA
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Credential | MD
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Telephone | 863-289-7081
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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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