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General NPI Number Information
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NPI Number | 1417249830
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE OF ORLANDO PLLC
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 2295 S HIAWASSEE RD STE 210
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City | ORLANDO
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State | FL
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Zip | 32835-8748
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Country | US
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Telephone | 407-802-3233
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Fax | 407-233-4010
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Provider Business Mailing Address
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Address Line | 2295 S HIAWASSEE RD STE 210
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City | ORLANDO
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State | FL
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Zip | 32835-8748
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Country | US
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Telephone | 407-802-3233
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Fax | 407-233-4010
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL RSA HAY
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Credential | DO
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Telephone | 718-324-3611
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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 | OS10206
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License Number State | FL
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