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General NPI Number Information
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NPI Number | 1770478992
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Entity Type | Organization
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Legal Business Name | ONE HEALTH FLORIDA, PLLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 4923 CLARK RD FL 35233
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City | SARASOTA
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State | FL
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Zip | 34233-3252
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Country | US
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Telephone | 941-789-1111
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Fax | 941-789-1111
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Provider Business Mailing Address
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Address Line | 8 THE GREEN STE 13144
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City | DOVER
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State | DE
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Zip | 19901-3618
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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 | AUTHORIZED OFFICIAL
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Name | AMMAR TANK
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Credential |
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Telephone | 248-730-1403
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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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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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