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General NPI Number Information
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NPI Number | 1639672298
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Entity Type | Organization
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Legal Business Name | ADVANCED PSYCHIATRIC SERVICES OF CENTRAL FLORIDA
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Dates
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Enumeration Date | 03/09/2018
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 3750 EMERGENCY LN STE 4
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City | SEBRING
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State | FL
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Zip | 33870-5500
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Country | US
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Telephone | 863-382-7792
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Fax | 863-304-8589
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Provider Business Mailing Address
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Address Line | 3750 EMERGENCY LN STE 4
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City | SEBRING
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State | FL
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Zip | 33870-5500
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Country | US
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Telephone | 863-382-7792
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Fax | 863-304-8589
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. SORAYA JIMENEZ
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Credential |
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Telephone | 863-385-2606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME111126
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License Number State | FL
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