ProviderBusinessMailingAddressFaxNumber = '8638662552'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1578016820
FAMILY CARE PHYSICIAN GROUP
45669 HIGHWAY 27
DAVENPORT
FL
338974546
1841327236
NIEVES
NELSON
ANTONIO
45669 HIGHWAY 27
DAVENPORT
FL
338974546
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