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General NPI Number Information
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NPI Number | 1679747281
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Entity Type | Organization
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Legal Business Name | MID-FLORIDA ORTHOPAEDICS PA
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 441 MAITLAND AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5418
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Country | US
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Telephone | 407-831-8800
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Fax | 407-831-6090
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Provider Business Mailing Address
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Address Line | 441 MAITLAND AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5418
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Country | US
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Telephone | 407-831-8800
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Fax | 407-831-6090
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EMMANUEL D SCARLATOS
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Credential | M.D.
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Telephone | 407-831-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0026330
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License Number State | FL
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