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General NPI Number Information
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NPI Number | 1730449612
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Entity Type | Organization
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Legal Business Name | FLORIDA CENTER FOR ENDOCRINOLOGY PA
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 6001 VINELAND RD STE 111
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City | ORLANDO
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State | FL
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Zip | 32819-7829
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Country | US
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Telephone | 407-250-6770
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Fax | 407-278-1600
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Provider Business Mailing Address
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Address Line | PO BOX 691239
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City | ORLANDO
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State | FL
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Zip | 32869-1239
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Country | US
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Telephone | 407-250-6770
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Fax | 407-278-1600
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Authorized Official
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Title or Position | OWNER/OFFICER
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Name | VEENA H PATIL
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Credential | MD
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Telephone | 407-250-6770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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