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General NPI Number Information
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NPI Number | 1023805777
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Entity Type | Organization
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Legal Business Name | HGM ORLANDO LLC
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 201 HILDA ST STE 38
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City | KISSIMMEE
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State | FL
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Zip | 34741-2359
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Country | US
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Telephone | 407-978-0721
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 AXEL GRAESON AVE
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City | KISSIMMEE
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State | FL
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Zip | 34744-5282
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Country | US
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Telephone | 407-978-0721
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Fax | 407-978-0721
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Authorized Official
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Title or Position | MANAGER
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Name | ANA ALBI
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Credential | MGR
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Telephone | 407-978-0721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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