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General NPI Number Information
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NPI Number | 1326877689
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Entity Type | Organization
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Legal Business Name | SURGICAL INSTITUTE OF CENTRAL FLORIDA LLC
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Dates
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Enumeration Date | 07/26/2024
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 12363 W COLONIAL DR STE 100
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4186
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Country | US
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Telephone | 407-280-0887
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Fax |
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Provider Business Mailing Address
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Address Line | 12363 W COLONIAL DR STE 100
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4186
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Country | US
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Telephone | 407-347-4044
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Fax | 407-347-2799
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Authorized Official
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Title or Position | COO
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Name | PATRICK WIK
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Credential |
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Telephone | 407-347-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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