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General NPI Number Information
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NPI Number | 1831302942
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Entity Type | Organization
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Legal Business Name | HYPERBARIC ASSOCIATES OF FLORIDA P A
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 05/19/2009
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Provider Practice Location Address
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Address Line | 7800 SHERIDAN ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-2536
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Country | US
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Telephone | 954-963-8014
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 245835
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-0113
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Country | US
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Telephone | 954-384-9997
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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. BLANE SHATKIN
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Credential | M.D.
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Telephone | 954-384-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State | FL
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