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General NPI Number Information
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NPI Number | 1588836670
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Entity Type | Organization
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Legal Business Name | ORLANDO FAMILY MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 5542 LAKE HOWELL RD
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City | WINTER PARK
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State | FL
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Zip | 32792-1036
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Country | US
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Telephone | 407-673-8999
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Fax | 407-678-1246
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Provider Business Mailing Address
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Address Line | 5542 LAKE HOWELL RD
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City | WINTER PARK
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State | FL
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Zip | 32792-1036
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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 | MD
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Name | DR. JUAN C RICHARDS
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Credential |
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Telephone | 407-673-8999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME25252
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License Number State | FL
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