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General NPI Number Information
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NPI Number | 1275739203
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA ADULT MEDICINE
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 714 W AMELIA ST
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City | ORLANDO
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State | FL
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Zip | 32805-1402
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Country | US
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Telephone | 321-206-6517
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Fax | 321-251-6607
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Provider Business Mailing Address
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Address Line | PO BOX 682168
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City | ORLANDO
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State | FL
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Zip | 32868-2168
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Country | US
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Telephone | 321-206-6517
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Fax | 321-251-6607
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Authorized Official
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Title or Position | PRESIDENT
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Name | RODNEY JEAN FRANCOIS
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Credential |
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Telephone | 321-206-6517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | ME84415
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License Number State | FL
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