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General NPI Number Information
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NPI Number | 1306640164
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Entity Type | Organization
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Legal Business Name | GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 1706 N SEMORAN BLVD STE 100
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City | ORLANDO
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State | FL
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Zip | 32807-3568
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Country | US
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Telephone | 321-804-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 DEERWOOD CAMPUS PARKWAY DC 100, 4TH FLOOR
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City | JACKSONVILLE
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State | FL
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Zip | 32246
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Country | US
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Telephone | 904-885-2413
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Fax |
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Authorized Official
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Title or Position | VP OF CLINICAL OPERATIONS
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Name | KAREN N ANDREWS
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Credential | RN
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Telephone | 904-885-2413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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