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General NPI Number Information
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NPI Number | 1306213970
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Entity Type | Organization
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Legal Business Name | ELITE CARDIAC CARE, LLC
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Dates
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Enumeration Date | 08/29/2015
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Last Update Date | 08/29/2015
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Provider Practice Location Address
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Address Line | 7380 W SAND LAKE RD SUITE 500
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City | ORLANDO
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State | FL
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Zip | 32819-5248
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Country | US
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Telephone | 407-352-5210
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Fax |
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Provider Business Mailing Address
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Address Line | 7380 W SAND LAKE RD SUITE 500
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City | ORLANDO
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State | FL
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Zip | 32819-5248
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR/DON
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Name | DR. SITA SWAMY PRICE
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Credential | DNP
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Telephone | 352-516-9438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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