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General NPI Number Information
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NPI Number | 1952848913
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Entity Type | Organization
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Legal Business Name | FLORIDA HEALTH CARE LLC
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 929 N US HWY 441 STE 102
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City | LADY LAKE
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State | FL
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Zip | 32159-3002
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Country | US
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Telephone | 352-350-2474
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Fax | 352-350-2471
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Provider Business Mailing Address
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Address Line | PO BOX 1867
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City | OCALA
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State | FL
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Zip | 34478-1867
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Country | US
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Telephone | 352-350-2474
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Fax | 352-350-2471
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Authorized Official
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Title or Position | OWNER
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Name | SM HAZANUZ ZAMAN
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Credential | MD
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Telephone | 352-350-2474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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