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General NPI Number Information
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NPI Number | 1922996024
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Entity Type | Organization
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Legal Business Name | NOVOPHARM OF TAMPA, LLC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 3821 WOODBRIAR TRL STE 101
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City | PORT ORANGE
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State | FL
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Zip | 32129-9615
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Country | US
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Telephone | 813-374-9345
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Fax |
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Provider Business Mailing Address
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Address Line | 5404 HOOVER BLVD STE 22
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City | TAMPA
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State | FL
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Zip | 33634-5351
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Country | US
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Telephone | 133-749-3458
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF COMPLIANCE
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Name | SERGIO RODRIGUEZ
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Credential |
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Telephone | 813-374-9345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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