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General NPI Number Information
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NPI Number | 1255392767
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Entity Type | Organization
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Legal Business Name | MID-FLORIDA CARDIOLOGY SPECIALISTS
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Dates
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Enumeration Date | 04/01/2006
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Last Update Date | 03/15/2008
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Provider Practice Location Address
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Address Line | 1717 S ORANGE AVENUE SUITE 105
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 407-351-5384
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Fax | 407-872-7436
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Provider Business Mailing Address
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Address Line | 1717 S ORANGE AVENUE SUITE 105
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 407-351-5384
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Fax | 407-872-7436
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCOS S HAZDAY
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Credential | MD
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Telephone | 407-351-5384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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