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General NPI Number Information
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NPI Number | 1780911206
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Entity Type | Organization
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Legal Business Name | SOUTHWEST FLORIDA EMERGENCY MANAGEMENT LLC
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 350 7TH ST N
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City | NAPLES
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State | FL
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Zip | 34102-5730
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Country | US
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Telephone | 941-436-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 5870 HIATUS RD
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City | TAMARAC
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State | FL
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Zip | 33321-6424
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Country | US
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Telephone | 800-424-3672
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Fax | 954-377-3042
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL CORVINI
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Credential | MD
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Telephone | 800-424-3672
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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