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General NPI Number Information
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NPI Number | 1689071466
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Entity Type | Organization
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Legal Business Name | IZOITA INTEGRATIVE HEALTH LLC
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Dates
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Enumeration Date | 11/22/2014
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 6777 NIGHTWIND CIR
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City | ORLANDO
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State | FL
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Zip | 32818-8842
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Country | US
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Telephone | 727-859-2516
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Fax | 407-217-1603
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Provider Business Mailing Address
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Address Line | 2014 S ORANGE AVE SUITE 200
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City | ORLANDO
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State | FL
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Zip | 32806-3069
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Country | US
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Telephone | 727-859-2516
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Fax | 407-217-1603
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELENA IZOITA
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Credential | ARNP
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Telephone | 727-859-2516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ARNP 9246730
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License Number State | FL
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