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General NPI Number Information
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NPI Number | 1871998559
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Entity Type | Organization
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Legal Business Name | FLORIDA SUNSHINE DIAGNOSTICS INC
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 10/04/2017
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Provider Practice Location Address
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Address Line | 201 SW 16TH ST
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City | OKEECHOBEE
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State | FL
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Zip | 34974-6117
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Country | US
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Telephone | 863-623-4697
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Fax | 863-824-6106
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Provider Business Mailing Address
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Address Line | 201 SW 16TH ST
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City | OKEECHOBEE
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State | FL
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Zip | 34974-6117
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Country | US
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Telephone | 863-623-4697
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Fax | 863-824-6106
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Authorized Official
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Title or Position | OWNER
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Name | MR. TALIB JABER
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Credential |
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Telephone | 561-722-8565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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