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General NPI Number Information
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NPI Number | 1356702401
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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 | 03/17/2016
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 9580 W COLONIAL DR
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City | OCOEE
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State | FL
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Zip | 34761
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Country | US
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Telephone | 904-854-7911
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 DEERWOOD CAMPUS PKWY FL DC1004
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City | JACKSONVILLE
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State | FL
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Zip | 32246-8317
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Country | US
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Telephone | 321-888-2511
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF DEVELOPMENT
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Name | SONDRA TUCKER
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Credential |
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Telephone | 904-905-7654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 25561
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License Number State | FL
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