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General NPI Number Information
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NPI Number | 1235449448
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Entity Type | Organization
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Legal Business Name | STA MARIA INC
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 850 NORTH HART BLVD
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City | ORLANDO
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State | FL
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Zip | 32818
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Country | US
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Telephone | 407-264-1641
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Fax | 407-295-5896
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Provider Business Mailing Address
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Address Line | 207 CORALBERRY PT
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City | ORLANDO
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State | FL
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Zip | 32828-8460
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Country | US
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Telephone | 407-264-1641
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELSA STA MARIA
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Credential |
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Telephone | 407-264-1641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL7422
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License Number State | FL
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