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General NPI Number Information
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NPI Number | 1790499812
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Entity Type | Organization
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Legal Business Name | VIP SPECIALTIES OF FLORIDA
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 13715 RICHMOND PARK DR N UNIT 401
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City | JACKSONVILLE
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State | FL
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Zip | 32224-5277
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Country | US
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Telephone | 410-258-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 13715 RICHMOND PARK DR N UNIT 401
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City | JACKSONVILLE
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State | FL
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Zip | 32224-5277
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Country | US
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Telephone | 410-258-6500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABDALLAH KAFROUNI
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Credential | MD
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Telephone | 410-258-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease 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 | 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 #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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