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General NPI Number Information
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NPI Number | 1881746535
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Entity Type | Organization
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Legal Business Name | EDWARD R BERMUDEZ MD PA
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 1921 WALDEMERE STREET SUITE 301
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City | SARASOTA
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State | FL
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Zip | 34239-2941
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Country | US
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Telephone | 941-917-8744
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Fax | 941-917-8749
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Provider Business Mailing Address
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Address Line | 1921 WALDEMERE ST STE 301
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City | SARASOTA
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State | FL
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Zip | 34239-2941
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Country | US
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Telephone | 941-917-8744
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Fax | 941-917-8749
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. EDWARD R BERMUDEZ
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Credential | MD
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Telephone | 941-917-8744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0060562
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License Number State | FL
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