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General NPI Number Information
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NPI Number | 1821280579
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Entity Type | Organization
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Legal Business Name | ATLANTIS URGENT CARE, LLC
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 2254 HIGHWAY A1A
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4922
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Country | US
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Telephone | 321-777-2273
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Fax | 321-779-7425
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Provider Business Mailing Address
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Address Line | 2254 HIGHWAY A1A
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4922
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Country | US
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Telephone | 321-777-2273
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Fax | 321-779-7425
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BJORN DIMBERG
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Credential | M.D.
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Telephone | 321-777-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 602309
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License Number State | FL
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