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General NPI Number Information
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NPI Number | 1922249986
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Entity Type | Organization
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Legal Business Name | WEST FLORIDA MEDICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 511 W HIGHLAND AVE.
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City | INVERNESS
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State | FL
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Zip | 34450
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Country | US
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Telephone | 352-746-1515
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Fax | 352-746-7767
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Provider Business Mailing Address
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Address Line | PO BOX 640573
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City | BEVERLY HILLS
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State | FL
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Zip | 34464-0573
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Country | US
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Telephone | 352-746-1558
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Fax | 352-746-3838
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Authorized Official
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Title or Position | PHYDICAN
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Name | DR. VENKATREDDY ALUGUBELLI
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Credential | M.D.
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Telephone | 352-746-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | ME55207
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME55207
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License Number State | FL
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