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General NPI Number Information
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NPI Number | 1134595093
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Entity Type | Organization
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Legal Business Name | ARTHRITIS CENTER OF ORLANDO PA
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 11/17/2024
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Provider Practice Location Address
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Address Line | 1550 CITRUS MEDICAL CT
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City | OCOEE
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State | FL
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Zip | 34761
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Country | US
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Telephone | 407-757-0277
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Fax | 407-757-0271
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Provider Business Mailing Address
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Address Line | PO BOX 645
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City | GOTHA
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State | FL
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Zip | 34734-0645
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Country | US
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Telephone | 407-296-1540
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Fax | 407-296-2549
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Authorized Official
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Title or Position | OWNER
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Name | DR. NIMESH A DAYAL
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Credential | MD
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Telephone | 407-757-0277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME114449
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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