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General NPI Number Information
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NPI Number | 1699002097
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Entity Type | Organization
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Legal Business Name | CONNEXIS MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 5955 RAND BLVD
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City | SARASOTA
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State | FL
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Zip | 34238-5160
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Country | US
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Telephone | 941-552-7500
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Fax | 941-926-4883
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Provider Business Mailing Address
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Address Line | 5955 RAND BLVD
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City | SARASOTA
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State | FL
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Zip | 34238-5160
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Country | US
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Telephone | 941-552-7500
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Fax | 941-926-4883
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JONATHAN DAVID FLEECE
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Credential |
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Telephone | 941-552-7525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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