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General NPI Number Information
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NPI Number | 1053524850
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA MEDICAL &REHAB CENTER INC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 320 PINEY RIDGE ROAD
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City | CASSELBERRY
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State | FL
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Zip | 32707
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Country | US
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Telephone | 407-263-3038
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Fax | 407-263-3079
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Provider Business Mailing Address
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Address Line | 320 PINEY RIDGE RD
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City | CASSELBERRY
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State | FL
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Zip | 32707-3806
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Country | US
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Telephone | 407-263-3038
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Fax | 407-263-3079
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Authorized Official
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Title or Position | CLINIC DIRECTOR CHIROPRACTOR
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Name | DR. BRYAN D BORSUM
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Credential | DC
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Telephone | 407-263-3038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | HCC4523
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License Number State | FL
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