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General NPI Number Information
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NPI Number | 1659739142
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FAMILY MEDICINE OF ORLANDO LLC
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 5946 CURRY FORD RD SUITE 103
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City | ORLANDO
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State | FL
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Zip | 32822-4280
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Country | US
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Telephone | 407-985-5677
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Fax | 407-985-5682
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Provider Business Mailing Address
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Address Line | PO BOX 720370
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City | ORLANDO
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State | FL
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Zip | 32872-0370
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Country | US
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Telephone | 407-985-5677
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Fax | 407-985-5682
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA ELENA RODRIGUEZ
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Credential | MD
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Telephone | 407-985-5677
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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 | ME100303
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License Number State | FL
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