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General NPI Number Information
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NPI Number | 1295990497
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA INFECTIOUS DISEASES GROUP PL
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 316 GROVELAND ST
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City | ORLANDO
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State | FL
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Zip | 32804-4019
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Country | US
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Telephone | 407-896-9660
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Fax | 407-896-9661
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Provider Business Mailing Address
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Address Line | 316 GROVELAND ST
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City | ORLANDO
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State | FL
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Zip | 32804-4019
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Country | US
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Telephone | 407-896-9660
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Fax | 407-896-9661
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHERYL PACHA
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Credential |
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Telephone | 407-896-9660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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