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General NPI Number Information
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NPI Number | 1003856782
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Entity Type | Organization
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Legal Business Name | EYE PHYSICIANS OF CENTRAL FLORIDA
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 1781 PARK CENTER DR SUITE 220
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City | ORLANDO
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State | FL
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Zip | 32835-6254
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Country | US
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Telephone | 407-398-7730
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Fax | 407-398-7740
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Provider Business Mailing Address
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Address Line | 1781 PARK CENTER DR SUITE 220
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City | ORLANDO
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State | FL
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Zip | 32835-6254
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Country | US
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Telephone | 407-398-7730
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Fax | 407-398-7740
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CHARLA FERCHOW
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Credential |
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Telephone | 407-767-6411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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