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General NPI Number Information
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NPI Number | 1992529945
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Entity Type | Organization
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Legal Business Name | VOLUNTEERS OF AMERICA OF FLORIDA, INC
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 2690 HIGHWAY 73
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City | MARIANNA
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State | FL
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Zip | 32448-5443
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Country | US
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Telephone | 386-697-5354
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Fax |
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Provider Business Mailing Address
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Address Line | 850 5TH AVE. SOUTH SUITE #1100
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City | ST. PETERSBURG
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State | FL
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Zip | 33701
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Country | US
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Telephone | 727-369-8500
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | RANDALL MARK BURGAN
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Credential |
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Telephone | 727-416-2322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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