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General NPI Number Information
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NPI Number | 1801747563
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Entity Type | Organization
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Legal Business Name | HEALTHDYNE SPECIALTY FLORIDA, LLC
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 500 EAGLES LANDING DR STE A
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City | LAKELAND
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State | FL
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Zip | 33810-2899
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Country | US
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Telephone | 800-641-8475
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Fax | 800-530-8589
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Provider Business Mailing Address
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Address Line | 500 EAGLES LANDING DR
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City | LAKELAND
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State | FL
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Zip | 33810-2899
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Country | US
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Telephone | 800-641-8475
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Fax | 800-530-8589
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT & SECRETARY
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Name | MR. PHILLIP PAUL BISESI
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Credential |
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Telephone | 863-583-6248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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