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General NPI Number Information
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NPI Number | 1922024355
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Entity Type | Organization
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Legal Business Name | CARE ONE OF FLORIDA LLC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 12220 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-2631
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Country | US
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Telephone | 352-610-9905
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Fax | 352-610-9907
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Provider Business Mailing Address
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Address Line | 12220 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-2631
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Country | US
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Telephone | 352-610-9905
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Fax | 352-610-9907
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. STACIE S LAVIANO
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Credential | APRN
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Telephone | 352-610-9905
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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 | FL
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