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General NPI Number Information
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NPI Number | 1780596684
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Entity Type | Organization
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Legal Business Name | ORTHO365 FL1 LLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 1787 OAKBROOK DR
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City | LONGWOOD
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State | FL
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Zip | 32779-3168
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Country | US
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Telephone | 703-899-0334
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Fax |
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Provider Business Mailing Address
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Address Line | 1787 OAKBROOK DR
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City | LONGWOOD
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State | FL
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Zip | 32779-3168
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED MEMBER
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Name | MORAD CHUGHTAI
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Credential |
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Telephone | 703-899-0334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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