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General NPI Number Information
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NPI Number | 1932183027
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Entity Type | Individual
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Provider Name | JOSE A AVILA MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1700 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-3509
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Country | US
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Telephone | 941-917-8507
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Fax |
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Provider Business Mailing Address
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Address Line | 10940 STATE ROAD 70 E STE 103
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-8401
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Country | US
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Telephone | 941-243-3088
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Fax | 941-243-3085
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME0058034
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License Number State | FL
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