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General NPI Number Information
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NPI Number | 1487690947
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA PHARMACY INC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2464 E MICHIGAN ST
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City | ORLANDO
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State | FL
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Zip | 32806-5059
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Country | US
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Telephone | 407-898-8382
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Fax | 407-898-5110
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Provider Business Mailing Address
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Address Line | PO BOX 568125
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City | ORLANDO
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State | FL
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Zip | 32856-8125
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER OWNER
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Name | BEN KELLY
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Credential | RPH
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Telephone | 407-898-8382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH18649
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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