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General NPI Number Information
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NPI Number | 1346106804
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA ADVANCED SURGICAL CARE SPECIALISTS PLLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 3300 W LAKE MARY BLVD STE 330
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City | LAKE MARY
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State | FL
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Zip | 32746-3405
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Country | US
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Telephone | 407-794-4449
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Fax | 407-664-1119
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Provider Business Mailing Address
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Address Line | 1539 SAINT EDMUNDS PL
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City | LAKE MARY
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State | FL
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Zip | 32746-1700
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Country | US
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Telephone | 407-794-4449
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Fax | 407-664-1119
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | DR. WILLIAM LEONARD HUETHER III
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Credential | MD
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Telephone | 407-754-4263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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