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General NPI Number Information
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NPI Number | 1336520105
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Entity Type | Organization
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Legal Business Name | CLOUD CARE LLC
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 3720 CORD AVE
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City | SAINT CLOUD
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State | FL
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Zip | 34772-8061
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Country | US
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Telephone | 407-666-1116
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 10TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-3343
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Country | US
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Telephone | 407-593-0323
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | EDURADO PIGTAIN
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Credential | MD
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Telephone | 407-593-0323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME103425
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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