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General NPI Number Information
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NPI Number | 1588902415
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Entity Type | Organization
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Legal Business Name | WINTER PARK PRIMARY CARE
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 942 LAKE BALDWIN LANE
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City | ORLANDO
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State | FL
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Zip | 32814-6651
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Country | US
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Telephone | 321-285-6363
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Fax | 321-282-6176
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Provider Business Mailing Address
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Address Line | 942 LAKE BALDWIN LANE
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City | ORLANDO
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State | FL
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Zip | 32814-6651
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Country | US
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Telephone | 321-285-6363
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Fax | 321-282-6176
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEHA N DOSHI
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Credential | M.D.
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Telephone | 321-285-6363
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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 | ME0075193
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License Number State | FL
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