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General NPI Number Information
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NPI Number | 1760299093
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Entity Type | Organization
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Legal Business Name | ADVENTHEALTH PORT CHARLOTTE INC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 2500 HARBOR BLVD
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5000
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Country | US
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Telephone | 941-766-4122
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Fax |
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Provider Business Mailing Address
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Address Line | 14055 RIVEREDGE DR STE 250
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City | TAMPA
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State | FL
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Zip | 33637-2141
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | VADYM DIDENKO
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Credential |
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Telephone | 813-803-4004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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