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General NPI Number Information
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NPI Number | 1740478692
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Entity Type | Organization
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Legal Business Name | TUMMINIA INTERNAL MEDICINE PA
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 10301 HAGEN RANCH RD STE B6
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3723
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Country | US
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Telephone | 561-498-8031
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Fax |
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Provider Business Mailing Address
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Address Line | 10301 HAGEN RANCH RD STE B6
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3723
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Country | US
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Telephone | 561-498-8031
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. LOUIS G TUMMINIA
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Credential |
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Telephone | 561-498-8891
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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 | OS7926
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License Number State | FL
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