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General NPI Number Information
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NPI Number | 1417579780
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER OF CENTRAL FLORIDA CORP
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Dates
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Enumeration Date | 05/10/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 4711 CURRY FORD RD STE C
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City | ORLANDO
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State | FL
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Zip | 32812-2704
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Country | US
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Telephone | 786-765-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 4711 CURRY FORD RD STE C
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City | ORLANDO
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State | FL
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Zip | 32812-2704
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Country | US
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Telephone | 407-704-8025
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RAMON BERENGUER
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Credential | MD
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Telephone | 407-704-8025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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