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General NPI Number Information
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NPI Number | 1841070273
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Entity Type | Organization
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Legal Business Name | NEUROFENIX MEDICAL GROUP OF FLORIDA, INC.
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 730 GOODLETTE-FRANK RD N STE 205P
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City | NAPLES
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State | FL
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Zip | 34102-5618
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Country | US
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Telephone | 800-945-8132
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Fax |
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Provider Business Mailing Address
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Address Line | 730 GOODLETTE-FRANK RD N STE 205P
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City | NAPLES
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State | FL
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Zip | 34102-5618
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GUILLEM SINGLA BUXARRAIS
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Credential |
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Telephone | 917-442-1805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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