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General NPI Number Information
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NPI Number | 1205400090
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE SERVICES, LLC
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 9486 NARCOOSSEE RD
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City | ORLANDO
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State | FL
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Zip | 32827-5705
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Country | US
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Telephone | 407-476-9066
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Fax |
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Provider Business Mailing Address
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Address Line | 11954 NARCOOSSEE RD STE 2-187
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City | ORLANDO
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State | FL
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Zip | 32832-6998
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Country | US
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Telephone | 407-476-9066
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOEL RAMOS-TIRADO
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Credential | M.D.
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Telephone | 407-476-9066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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