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NPI 1962104380

NPI 1962104380 : STAY DRY CENTERS OF FLORIDA LLC : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1962104380
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    Entity Type          |    Organization 
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    Legal Business Name  |    STAY DRY CENTERS OF FLORIDA LLC 
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Dates
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    Enumeration Date     |    03/20/2023
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    Last Update Date     |    03/20/2023
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Provider Practice Location Address
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    Address Line         |    1905 CLINT MOORE RD STE 305 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33496-2661
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    Country              |    US
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    Telephone            |    561-288-9663
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    932 IRIS DR 
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    City                 |    DELRAY BEACH
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    State                |    FL
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    Zip                  |    33483-4811
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    Country              |    US
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    Telephone            |    561-251-6259
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING DIRECTOR
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    Name                 |    MR. UFUK  TUKEL 
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    Credential           |    
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    Telephone            |    561-923-8373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    
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    License Number State |    
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