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General NPI Number Information
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NPI Number | 1184689127
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ASSOCIATES OF CENTRAL FLORIDA L L C
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 600 E DIXIE AVE
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City | LEESBURG
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State | FL
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Zip | 34748-5925
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Country | US
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Telephone | 352-787-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 734 N 3RD ST SUITE 115
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City | LEESBURG
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State | FL
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Zip | 34748-5285
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Country | US
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Telephone | 352-365-2583
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Fax | 352-728-6749
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Authorized Official
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Title or Position | DIRECTOR OF RISK MANAGEMENT
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Name | MR. JOSH L FLOYD
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Credential | PHD
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Telephone | 352-365-2583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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