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General NPI Number Information
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NPI Number | 1831254168
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Entity Type | Organization
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Legal Business Name | ALL CHILDREN'S SURGIKID OF FLORIDA, INC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 501 6TH AVE S DEPT. #9525
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4634
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Country | US
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Telephone | 727-898-7451
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Fax | 727-767-4191
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Provider Business Mailing Address
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Address Line | 501 6TH AVE S DEPT. #9525
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4634
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Country | US
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Telephone | 727-898-7451
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Fax | 727-767-4191
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Authorized Official
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Title or Position | VICE PRESIDENT & COO
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Name | MS. ROBERTA ALESSI
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Credential |
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Telephone | 727-767-2868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1048
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License Number State | FL
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