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NPI 1396641726

NPI 1396641726 : APOPKA MEDICAL AND WELLNESS CENTER LLC : APOPKA, FL

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General NPI Number Information
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    NPI Number           |    1396641726
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    Entity Type          |    Organization 
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    Legal Business Name  |    APOPKA MEDICAL AND WELLNESS CENTER LLC 
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Dates
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    Enumeration Date     |    10/14/2026
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    Last Update Date     |    10/14/2026
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Provider Practice Location Address
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    Address Line         |    219 E MAIN ST 
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    City                 |    APOPKA
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    State                |    FL
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    Zip                  |    32703-5347
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    Country              |    US
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    Telephone            |    954-422-8422
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    Fax                  |    954-471-0521
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Provider Business Mailing Address
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    Address Line         |    1631 ROCK SPRINGS RD # 302 
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    City                 |    APOPKA
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    State                |    FL
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    Zip                  |    32712-2229
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SANFORD  MARK 
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    Credential           |    DC
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    Telephone            |    352-250-1679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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