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NPI 1689578148

NPI 1689578148 : PEDSCOVE URGENT CARE CENTER, LLC : OCALA, FL

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General NPI Number Information
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    NPI Number           |    1689578148
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    Entity Type          |    Organization 
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    Legal Business Name  |    PEDSCOVE URGENT CARE CENTER, LLC 
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Dates
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    Enumeration Date     |    10/07/2026
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    Last Update Date     |    10/07/2026
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Provider Practice Location Address
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    Address Line         |    1301 SE 25TH LOOP 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34471-6090
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    Country              |    US
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    Telephone            |    407-509-1643
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3135 TALA LOOP 
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    City                 |    LONGWOOD
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    State                |    FL
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    Zip                  |    32779-3129
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    Country              |    US
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    Telephone            |    407-509-1643
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PROVIDER
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    Name                 |     OLUDAPO F SOREMI 
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    Credential           |    MD
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    Telephone            |    407-468-1204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    NULL
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