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General NPI Number Information
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NPI Number | 1366731523
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Entity Type | Organization
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Legal Business Name | TLC HOME CARE SERVICES OF CENTRAL FL INC
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 101 TIMBERLACHEN CIR SUITE 102
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City | LAKE MARY
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State | FL
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Zip | 32746-6124
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Country | US
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Telephone | 407-878-1296
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Fax | 407-386-3056
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Provider Business Mailing Address
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Address Line | 238 WILSHIRE BLVD SUITE 155
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City | CASSELBERRY
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State | FL
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Zip | 32707
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Country | US
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Telephone | 321-972-4067
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Fax | 407-386-3056
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JAZMIN FLOR SERRA
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Credential |
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Telephone | 407-618-9949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299993783
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License Number State | FL
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