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General NPI Number Information
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NPI Number | 1922286822
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Entity Type | Organization
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Legal Business Name | FLORIDA MEDICAL SPECIALISTS LLC
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 4351 CORTEZ RD W STE 100
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City | BRADENTON
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State | FL
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Zip | 34210-3215
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Country | US
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Telephone | 941-752-0066
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Fax | 941-487-6226
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Provider Business Mailing Address
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Address Line | PO BOX 25487
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City | SARASOTA
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State | FL
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Zip | 34277-2487
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Country | US
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Telephone | 941-284-5448
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | INITA BEDI
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Credential |
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Telephone | 941-284-5448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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