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General NPI Number Information
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NPI Number | 1568665602
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Entity Type | Organization
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Legal Business Name | FLORIDA PSYCHIATRIC CENTER P A
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 9430 TURKEY LAKE RD SUIT # 102
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City | ORLANDO
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State | FL
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Zip | 32819-8015
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Country | US
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Telephone | 407-579-8759
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Fax |
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Provider Business Mailing Address
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Address Line | 8800 OAK LANDINGS CT
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City | ORLANDO
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State | FL
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Zip | 32836-5002
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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 | CEO
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Name | DR. RIFFAT QURESHI
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Credential | MD
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Telephone | 407-579-8759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME0074917
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License Number State | FL
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