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General NPI Number Information
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NPI Number | 1861102600
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Entity Type | Organization
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Legal Business Name | FLORIDA CONCERNED CARE, LLC
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 548 48TH STREET CT E
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City | BRADENTON
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State | FL
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Zip | 34208-5508
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Country | US
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Telephone | 941-357-1959
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Fax | 727-674-1540
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Provider Business Mailing Address
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Address Line | 548 48TH STREET CT E
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City | BRADENTON
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State | FL
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Zip | 34208-5508
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Country | US
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Telephone | 941-357-1959
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Fax | 727-674-1540
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Authorized Official
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Title or Position | OWNER
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Name | MR. JERAMIE D SNELLING
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Credential |
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Telephone | 727-400-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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