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General NPI Number Information
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NPI Number | 1902507080
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Entity Type | Organization
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Legal Business Name | INNOVACARE FLORIDA URGENT CARE, LLC
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1037 S STATE ROAD 7 STE 113
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City | WELLINGTON
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State | FL
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Zip | 33414-6139
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Country | US
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Telephone | 561-798-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTANG GENERAL COUNSEL
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Name | DAVID A BROWN
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Credential |
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Telephone | 303-518-0877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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