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General NPI Number Information
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NPI Number | 1093823635
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Entity Type | Organization
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Legal Business Name | EAST ORLANDO MEDICAL CENTER
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5546 LAKE HOWELL RD
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City | WINTER PARK
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State | FL
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Zip | 32792-1036
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Country | US
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Telephone | 407-673-5528
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Fax | 407-678-1189
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Provider Business Mailing Address
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Address Line | 5546 LAKE HOWELL RD
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City | WINTER PARK
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State | FL
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Zip | 32792-1036
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Country | US
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Telephone | 407-673-5528
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Fax | 407-678-1189
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Authorized Official
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Title or Position | C.E.O
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Name | MRS. MARIA TURK
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Credential |
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Telephone | 407-673-5528
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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 | FL
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