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General NPI Number Information
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NPI Number | 1861483505
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Entity Type | Individual
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Provider Name | ZAIDA C BERMUDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 350 MARY ST SUITE A
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City | PUNTA GORDA
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State | FL
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Zip | 33950-4564
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Country | US
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Telephone | 941-575-1514
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Fax | 941-639-0466
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Provider Business Mailing Address
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Address Line | 5032 SAN MASSIMO DR
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City | PUNTA GORDA
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State | FL
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Zip | 33950-8059
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Country | US
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Telephone | 941-575-1514
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Fax | 941-639-0466
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0043559
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License Number State | FL
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