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State of Florida Agency for Health Care Administration Medicaid Provider Surety Bond MEDICAID PROVIDER NUMBER or TAX ID BOND NUMBER Know all men by these presents that d/b/a (Providers Name)with its
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How to fill out providers physical address

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How to fill out providers physical address:

01
Gather the necessary information: Before filling out the provider's physical address, make sure you have the complete and accurate details required. This usually includes the street address, city, state, and postal code.
02
Start with the street address: Begin by entering the provider's street address. This is the specific location where the provider is physically located. Double-check for any typos or missing information.
03
Specify the city: Next, include the city where the provider is situated. Ensure that the city name is correct and matches the actual location.
04
Enter the state: After the city, provide the state in which the provider is located. Use the proper two-letter abbreviation for the state.
05
Include the postal code: The postal code, also known as the ZIP code, is a crucial component of the provider's physical address. It helps identify the precise location within the given city and state.
06
Verify accuracy: Once you have filled out the provider's physical address, review all the details to ensure accuracy. Incorrect information can lead to delivery issues or difficulty in locating the provider.

Who needs providers physical address:

01
Individuals requiring services: People who are seeking services or products from a provider may need their physical address to visit the location or send mail.
02
Customers or clients: Customers or clients who are establishing a business relationship with the provider may need their physical address for correspondence purposes.
03
Government agencies: Government agencies, such as taxation authorities, may require the provider's physical address for maintaining accurate records and ensuring legal compliance.
04
Licensing and regulatory bodies: Licensing boards or regulatory bodies may request the provider's physical address as part of their verification process or to ensure compliance with industry regulations.
05
Insurance companies: Insurance companies may need the provider's physical address to verify their eligibility for coverage or process claims.
In conclusion, when filling out a provider's physical address, it is essential to accurately input the street address, city, state, and postal code. This information is necessary for individuals requiring services, customers or clients, government agencies, licensing and regulatory bodies, and insurance companies.
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Providers physical address is the location where the provider's business or service is physically located.
All providers who are offering goods or services are required to file their physical address.
Providers can fill out their physical address by providing the complete street address, city, state, and zip code.
The purpose of providers physical address is to ensure that customers or clients know where to find the provider's physical location.
Providers must report the complete street address, city, state, and zip code for their physical location.
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