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General NPI Number Information
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NPI Number | 1881012243
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Entity Type | Organization
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Legal Business Name | FUNCTIONAL HEALTH AND MEDICINE, LLC
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 1720 SE 16TH AVE SUITE 303
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City | OCALA
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State | FL
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Zip | 34471-4620
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Country | US
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Telephone | 352-512-0907
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Fax | 352-512-0976
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Provider Business Mailing Address
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Address Line | 1720 SE 16TH AVE SUITE 303
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City | OCALA
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State | FL
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Zip | 34471-4620
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Country | US
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Telephone | 352-512-0907
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Fax | 352-512-0976
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | BILL REED
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Credential |
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Telephone | 352-512-0907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | OS 12487
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License Number State | FL
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