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General NPI Number Information
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NPI Number | 1821294752
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Entity Type | Organization
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Legal Business Name | FLORIDA PREMIER CARE PA
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 10006 CROSS CREEK BLVD #431
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City | TAMPA
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State | FL
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Zip | 33647-2595
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Country | US
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Telephone | 727-376-6578
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Fax | 813-333-1214
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Provider Business Mailing Address
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Address Line | PO BOX 340957
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City | TAMPA
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State | FL
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Zip | 33694-0957
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Country | US
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Telephone | 727-376-6578
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Fax | 813-333-1214
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEKH HIRA
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Credential | MD
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Telephone | 727-376-6578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME97582
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License Number State | FL
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