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General NPI Number Information
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NPI Number | 1134612989
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Entity Type | Individual
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Provider Name | JHUDIEL CHRISTOPHER PEREZ MALINAO PT
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Gender | Male
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 200 N LAKEMONT AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-3273
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Country | US
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Telephone | 407-646-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 6762 PALM CANOPY DR
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City | ORLANDO
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State | FL
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Zip | 32829-3008
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Country | US
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Telephone | 936-718-0045
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT40861
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License Number State | FL
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