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General NPI Number Information
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NPI Number | 1023455367
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Entity Type | Organization
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Legal Business Name | CASE MANAGEMENT SERVICES OF CENTRAL FLORIDA
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 5104 N ORANGE BLOSSOM TRL STE 107
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City | ORLANDO
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State | FL
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Zip | 32810-1013
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Country | US
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Telephone | 407-309-6708
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Fax |
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Provider Business Mailing Address
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Address Line | 5104 N ORANGE BLOSSOM TRL STE 107
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City | ORLANDO
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State | FL
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Zip | 32810-1013
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Country | US
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Telephone | 407-309-6708
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONOVAN DENNIS DAVIS
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Credential |
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Telephone | 407-448-3665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 004124100
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License Number State | FL
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