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General NPI Number Information
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NPI Number | 1871806539
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Entity Type | Organization
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Legal Business Name | PALM ACCESS, LLC
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2601 S DOUGLAS RD STE 704
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City | CORAL GABLES
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State | FL
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Zip | 33133-2750
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Country | US
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Telephone | 305-716-8225
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Fax | 954-678-1703
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Provider Business Mailing Address
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Address Line | 3109 STIRLING RD STE 100
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6558
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Country | US
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Telephone | 954-315-2000
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Fax | 954-678-1703
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Authorized Official
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Title or Position | CEO
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Name | ERIC ROGERS
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Credential |
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Telephone | 914-720-3686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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