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General NPI Number Information
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NPI Number | 1285169177
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Entity Type | Organization
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Legal Business Name | ORLANDO PHYSICIANS GROUP INC.
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 5385 CONROY RD SUITE 100
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City | ORLANDO
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State | FL
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Zip | 32811-3719
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Country | US
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Telephone | 407-777-8794
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Fax | 689-208-1222
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Provider Business Mailing Address
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Address Line | 5385 CONROY RD STE 100&104
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City | ORLANDO
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State | FL
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Zip | 32811-3719
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Country | US
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Telephone | 407-777-8794
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Fax | 689-208-1222
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHREYA N PATEL
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Credential | M.D.
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Telephone | 814-380-3443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME128383
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME132161
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME132161
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | ME128383
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License Number State | FL
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