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General NPI Number Information
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NPI Number | 1669069050
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Entity Type | Organization
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Legal Business Name | ORTHO FLORIDA, LLC
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Dates
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Enumeration Date | 12/31/2020
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 7200 WEST CAMINO REAL STE 104
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City | BOCA RATON
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State | FL
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Zip | 33433-5511
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Country | US
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Telephone | 561-495-9511
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Fax |
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Provider Business Mailing Address
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Address Line | 751 PARK OF COMMERCE DR STE 112
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City | BOCA RATON
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State | FL
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Zip | 33487-3622
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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 | COO
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Name | ADRIANA WEICHT
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Credential |
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Telephone | 561-300-1792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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