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General NPI Number Information
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NPI Number | 1750682175
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Entity Type | Organization
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Legal Business Name | JAMES VILLOTTI MD PA
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 900 PINE ST SUITE 111
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City | ENGLEWOOD
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State | FL
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Zip | 34223-4418
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Country | US
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Telephone | 941-474-9581
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Fax | 941-475-0748
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Provider Business Mailing Address
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Address Line | 900 PINE ST SUITE 111
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City | ENGLEWOOD
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State | FL
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Zip | 34223-4418
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Country | US
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Telephone | 941-474-9581
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Fax | 941-475-0748
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES PHILLIP VILLOTTI
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Credential | MD
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Telephone | 941-474-0023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 207Q00000X
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License Number State | FL
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