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General NPI Number Information
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NPI Number | 1740177278
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Entity Type | Organization
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Legal Business Name | SEABREEZE MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 19700 COCHRAN BLVD STE D-1
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-2032
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Country | US
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Telephone | 941-300-2286
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Fax | 941-300-6091
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Provider Business Mailing Address
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Address Line | 19700 COCHRAN BLVD STE D-1
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-2032
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Country | US
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Telephone | 941-300-2286
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Fax | 941-300-6091
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Authorized Official
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Title or Position | OWNER
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Name | NELSY ALVAREZ
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Credential |
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Telephone | 941-300-2286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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