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General NPI Number Information
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NPI Number | 1427152537
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA PEDIATRIC SLEEP DISORDERS INSTITUTE, PA
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6I5 EAST PRINCETON STREET SUITE 310
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 407-898-2767
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Fax | 407-898-9443
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Provider Business Mailing Address
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Address Line | 6I5 EAST PRINCETON STREET SUITE 310
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 407-898-2767
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Fax | 407-898-9443
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. AKINYEMI OLUTOYE AJAYI
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Credential | MBBS
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Telephone | 407-898-2767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State | FL
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