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General NPI Number Information
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NPI Number | 1609692490
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Entity Type | Organization
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Legal Business Name | THE DOCTORS CENTER INC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 7824 LAKE UNDERHILL RD STE B
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City | ORLANDO
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State | FL
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Zip | 32822-8201
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Country | US
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Telephone | 407-281-0470
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Fax | 407-273-1848
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Provider Business Mailing Address
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Address Line | PO BOX 878
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City | DAVENPORT
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State | FL
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Zip | 33836-0878
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Country | US
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Telephone | 689-223-3898
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Fax | 689-223-3898
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Authorized Official
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Title or Position | COO
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Name | DAVID ROMANELLO
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Credential |
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Telephone | 352-459-3661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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