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NPI 1689778185

NPI 1689778185 : SURGICAL ASSOCIATES OF CENTRAL FLORIDA PA : WINTER PARK, FL

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General NPI Number Information
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    NPI Number           |    1689778185
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    Entity Type          |    Organization 
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    Legal Business Name  |    SURGICAL ASSOCIATES OF CENTRAL FLORIDA PA 
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Dates
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    Enumeration Date     |    09/13/2006
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    Last Update Date     |    10/01/2024
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Provider Practice Location Address
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    Address Line         |    1181 ORANGE AVE 
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    City                 |    WINTER PARK
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    State                |    FL
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    Zip                  |    32789-4907
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    Country              |    US
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    Telephone            |    407-647-1331
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    Fax                  |    407-571-2757
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Provider Business Mailing Address
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    Address Line         |    1181 ORANGE AVE 
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    City                 |    WINTER PARK
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    State                |    FL
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    Zip                  |    32789-4907
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    Country              |    US
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    Telephone            |    407-647-1331
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    Fax                  |    407-571-2757
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Authorized Official
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    Title or Position    |    PRACTICE ADMINISTRATOR
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    Name                 |     CYNTHIA  SERAFINE 
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    Credential           |    
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    Telephone            |    407-647-1331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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