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NPI 1760300727

NPI 1760300727 : CMED. : LAKEWOOD RANCH, FL

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General NPI Number Information
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    NPI Number           |    1760300727
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    Entity Type          |    Organization 
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    Legal Business Name  |    CMED. 
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Dates
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    Enumeration Date     |    07/08/2026
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    Last Update Date     |    07/09/2026
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Provider Practice Location Address
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    Address Line         |    18206 ROCKPORT PL 
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    City                 |    LAKEWOOD RANCH
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    State                |    FL
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    Zip                  |    34211-1169
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    Country              |    US
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    Telephone            |    941-500-9691
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    Fax                  |    908-430-5610
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Provider Business Mailing Address
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    Address Line         |    18206 ROCKPORT PL 
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    City                 |    LAKEWOOD RANCH
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    State                |    FL
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    Zip                  |    34211-1169
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    Country              |    US
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    Telephone            |    941-500-9691
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    Fax                  |    908-430-5610
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. PHILIP BRIAN FREED 
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    Credential           |    MPAS,MPA
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    Telephone            |    800-975-9819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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