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General NPI Number Information
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NPI Number | 1962957589
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Entity Type | Organization
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Legal Business Name | FLORIDA SURGERY CONSULTANTS, LLC
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 35111 US HIGHWAY 19 N SUITE 301
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City | PALM HARBOR
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State | FL
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Zip | 34684-1935
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Country | US
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Telephone | 727-784-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 35111 US HIGHWAY 19 N SUITE 301
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City | PALM HARBOR
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State | FL
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Zip | 34684-1935
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Country | US
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Telephone | 727-784-8600
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SAMUEL F NIXON
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Credential |
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Telephone | 727-784-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery 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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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