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General NPI Number Information
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NPI Number | 1386931293
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Entity Type | Individual
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Provider Name | JORGE ANDRES BUENDIA MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 9550 REGENCY SQUARE BLVD STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32225-8165
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Country | US
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Telephone | 904-744-7300
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Fax | 904-722-4271
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 833-702-8383
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Fax | 689-304-0303
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME119209
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License Number State | FL
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