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General NPI Number Information
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NPI Number | 1992983118
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE OF PALMS WEST, INC.
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 13005 SOUTHERN BLVD SUITE 213
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9206
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Country | US
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Telephone | 561-790-4445
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Fax | 561-790-4235
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Provider Business Mailing Address
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Address Line | 13005 SOUTHERN BLVD SUITE 213
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9206
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Country | US
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Telephone | 561-790-4445
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Fax | 561-790-4235
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Authorized Official
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Title or Position | OWNER
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Name | NEAL R WARSHOFF
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Credential | MD
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Telephone | 561-313-8422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS4914
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License Number State | FL
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