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General NPI Number Information
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NPI Number | 1780908459
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Entity Type | Organization
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Legal Business Name | MID FLORIDA HEALTH, INC.
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 7209 CURRY FORD RD STE. #B
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City | ORLANDO
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State | FL
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Zip | 32822-5809
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Country | US
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Telephone | 407-790-4842
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Fax | 407-790-4844
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Provider Business Mailing Address
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Address Line | 7209 CURRY FORD RD STE. #B
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City | ORLANDO
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State | FL
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Zip | 32822-5809
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Country | US
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Telephone | 407-790-4842
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Fax | 407-790-4844
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. ROBERTO RIOS JR.
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Credential |
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Telephone | 407-790-4842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | HCC8826
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License Number State | FL
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