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General NPI Number Information
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NPI Number | 1801023486
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Entity Type | Organization
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Legal Business Name | ADVANCED RHEUMATOLOGY OF CENTRAL FLORIDA, P.L.
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 100 S BELCHER RD #6087
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City | CLEARWATER
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State | FL
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Zip | 33758-8902
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Country | US
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Telephone | 727-953-3712
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S BELCHER RD #6087
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City | CLEARWATER
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State | FL
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Zip | 33758-8902
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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 | RHEUMATOLOGIST
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Name | DR. ADAM JACOB GRUNBAUM
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Credential | D.O.
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Telephone | 727-953-3712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | OS9755
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License Number State | FL
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