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General NPI Number Information
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NPI Number | 1841564150
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Entity Type | Organization
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Legal Business Name | GERY K FLOREK MD PA
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 1401 CENTERVILLE RD SUITE 506
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4647
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Country | US
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Telephone | 850-878-9892
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Fax | 850-877-7801
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Provider Business Mailing Address
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Address Line | 1401 CENTERVILLE RD SUITE 506
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4647
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Country | US
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Telephone | 850-878-9892
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Fax | 850-877-7801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERY FLOREK
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Credential | MD
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Telephone | 850-878-9892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME52067
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License Number State | FL
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