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General NPI Number Information
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NPI Number | 1790770873
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 4131 UNIVERSITY BLVD S #8
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4326
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Country | US
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Telephone | 904-733-3992
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Fax | 904-737-4344
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Provider Business Mailing Address
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Address Line | PO BOX 160817
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-0817
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Country | US
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Telephone | 904-886-5385
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELIAS NICHOLAS SAIKALI
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Credential | MD
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Telephone | 904-733-3992
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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 | OS3216
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0047248
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME51890
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License Number State | FL
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