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General NPI Number Information
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NPI Number | 1760466510
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH CENTER OF CENTRAL FLORIDA LLC
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 1319 S INTERNATIONAL PKWY STE 1151
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City | LAKE MARY
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State | FL
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Zip | 32746-1408
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Country | US
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Telephone | 407-333-1616
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Fax | 407-333-1617
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4525
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Country | US
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Telephone | 615-372-5426
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Fax |
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Authorized Official
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Title or Position | VP
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Name | MR. JOHN RODKEY
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Credential |
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Telephone | 850-523-2117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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