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General NPI Number Information
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NPI Number | 1457166571
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR INSTITUTE OF CENTRAL FLORIDA, LLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 6511 SW HIGHWAY 200
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City | OCALA
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State | FL
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Zip | 34476
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Country | US
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Telephone | 352-622-4251
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Fax | 352-622-0102
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Provider Business Mailing Address
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Address Line | 2111 SW 20TH PL
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City | OCALA
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State | FL
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Zip | 34471-7734
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Country | US
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Telephone | 352-622-4251
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Fax | 352-622-0102
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Authorized Official
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Title or Position | CEO
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Name | RANDY WARDLOW
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Credential |
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Telephone | 352-622-4251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC3500X
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Taxonomy Name | Cardiac Rehabilitation Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2471C1106X
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Taxonomy Name | Cardiac-Interventional Technology Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State |
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