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General NPI Number Information
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NPI Number | 1447871835
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Entity Type | Organization
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Legal Business Name | RECONSTRUCTIVE ORTHOPAEDICS OF CENTRAL FLORIDA, LLC
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 1500 SE MAGNOLIA EXT STE 104
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City | OCALA
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State | FL
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Zip | 34471-4452
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Country | US
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Telephone | 352-281-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 SE MAGNOLIA EXT STE 104
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City | OCALA
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State | FL
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Zip | 34471-4452
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Country | US
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Telephone | 352-456-0220
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Fax | 833-520-5009
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | BRETTE EM WILLIAMS
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Credential |
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Telephone | 352-456-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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