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General NPI Number Information
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NPI Number | 1013836089
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Entity Type | Organization
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Legal Business Name | LONGWOOD CARDIAC RECOVERY & REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 587 E STATE ROAD 434 UNIT 2045
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City | LONGWOOD
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State | FL
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Zip | 32750-5283
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Country | US
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Telephone | 321-317-3825
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Fax |
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Provider Business Mailing Address
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Address Line | 587 E STATE ROAD 434 UNIT 2045
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City | LONGWOOD
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State | FL
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Zip | 32750-5283
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Country | US
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Telephone | 321-317-3825
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | SERGIO JOSE SEPULVEDA SUNEZ
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Credential | DPT
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Telephone | 321-317-3825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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