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General NPI Number Information
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NPI Number | 1740074780
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Entity Type | Organization
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Legal Business Name | SUNSHINE INFECTIOUS DISEASE ASSOCIATES PLLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1813 SW 1ST AVE
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City | OCALA
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State | FL
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Zip | 34471-8167
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Country | US
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Telephone | 408-836-3984
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Fax |
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Provider Business Mailing Address
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Address Line | 1813 SW 1ST AVE
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City | OCALA
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State | FL
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Zip | 34471-8167
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Country | US
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Telephone | 352-450-3222
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Fax | 352-450-3223
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIDYA KOLLU
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Credential | MD
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Telephone | 352-450-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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