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General NPI Number Information
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NPI Number | 1841491354
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Entity Type | Organization
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Legal Business Name | COORDINATED MEDICAL SPECIALISTS, INC.
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 223 E HALLANDALE BEACH BLVD SUITE A.
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5542
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Country | US
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Telephone | 954-458-3668
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Fax | 954-458-3109
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Provider Business Mailing Address
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Address Line | 223 E HALLANDALE BEACH BLVD SUITE A.
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5542
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Country | US
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Telephone | 954-458-3668
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Fax | 954-458-3109
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. LARRY CRAIG SEMER
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Credential | D.P.M.
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Telephone | 954-458-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO1007
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License Number State | FL
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