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General NPI Number Information
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NPI Number | 1023461472
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Entity Type | Organization
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Legal Business Name | J & G FLORIDA ENTERPRISES
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 7918 SAINT GILES PL
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City | ORLANDO
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State | FL
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Zip | 32835-7909
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Country | US
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Telephone | 407-291-8915
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Fax | 407-291-8915
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Provider Business Mailing Address
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Address Line | 2221 LEE RD STE 13
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City | WINTER PARK
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State | FL
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Zip | 32789-1864
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Country | US
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Telephone | 407-740-8815
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Fax | 407-740-6678
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOHN MORRIS
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Credential |
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Telephone | 407-740-8815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL12129
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License Number State | FL
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