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General NPI Number Information
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NPI Number | 1881477412
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Entity Type | Organization
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Legal Business Name | LAKEWOOD RANCH ENTERPRISES LLC
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 8330 LAKEWOOD RANCH BLVD
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5174
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Country | US
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Telephone | 941-290-5400
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Fax | 941-289-2492
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Provider Business Mailing Address
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Address Line | 11161 STATE ROAD 70 E UNIT 110
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-9407
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Country | US
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Telephone |
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Fax | 941-289-2492
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | KIMBERLY BORSHEIM
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Credential |
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Telephone | 941-290-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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