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General NPI Number Information
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NPI Number | 1285965558
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Entity Type | Organization
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Legal Business Name | ADVANCED PHYSICAL THERAPY OF CENTRAL FLORIDA INC
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 09/14/2017
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Provider Practice Location Address
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Address Line | 3845 SE LAKE WEIR AVE
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City | OCALA
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State | FL
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Zip | 34480-9153
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Country | US
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Telephone | 352-347-1111
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Fax | 888-758-9645
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Provider Business Mailing Address
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Address Line | 1202 SW 17TH ST #209-229
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City | OCALA
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State | FL
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Zip | 34471-1271
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Country | US
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Telephone | 352-693-3378
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Fax | 888-758-9645
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Authorized Official
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Title or Position | CEO
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Name | MR. LESTER ALVIN HAMMOND III
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Credential | P.T.
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Telephone | 352-693-3378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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