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General NPI Number Information
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NPI Number | 1689838849
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Entity Type | Organization
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Legal Business Name | URGENT CARE PHYSICIANS OF COUNTRY WALK LLC
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 13500 SW 152ND ST
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City | MIAMI
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State | FL
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Zip | 33177-1111
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Country | US
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Telephone | 786-596-4300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 162848
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-2848
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Country | US
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Telephone | 786-888-8820
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Fax | 786-591-6025
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Authorized Official
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Title or Position | OWNER
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Name | DAVID RAYMOND NATEMAN
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Credential | MD
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Telephone | 786-888-8820
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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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