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General NPI Number Information
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NPI Number | 1225034234
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Entity Type | Organization
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Legal Business Name | FLORIDA HOSPITAL MEDICAL GROUP INC
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 2600 WESTHALL LN FL 4
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City | MAITLAND
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State | FL
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Zip | 32751-7102
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Country | US
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Telephone | 407-200-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 WESTHALL LN FL 4
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City | MAITLAND
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State | FL
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Zip | 32751-7102
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Country | US
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Telephone | 407-200-2700
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. VANCE ALAN MCLARREN II
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Credential |
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Telephone | 407-200-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | NA
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | NA
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | NA
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | NA
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | NA
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | NA
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | NA
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | NA
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | NA
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | NA
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | NA
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License Number State | FL
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Taxonomy #13
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | NA
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License Number State | FL
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Taxonomy #14
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NA
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License Number State | FL
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Taxonomy #15
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | NA
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License Number State | FL
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