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General NPI Number Information
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NPI Number | 1366840191
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Entity Type | Organization
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Legal Business Name | J L MORILLO MD PA
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 8809 COMMODITY CIR #2
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City | ORLANDO
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State | FL
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Zip | 32819-9052
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Country | US
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Telephone | 407-704-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 8809 COMMODITY CIR #2
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City | ORLANDO
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State | FL
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Zip | 32819-9052
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Country | US
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Telephone | 407-704-7878
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOAQUIN LEONARDO MORILLO
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Credential | MD
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Telephone | 407-376-2266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | ME 45121
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License Number State | FL
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