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General NPI Number Information
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NPI Number | 1811175516
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Entity Type | Organization
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Legal Business Name | ENRIQUE UMPIERRE MD PLLC
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 3727 N GOLDENROD RD SUITE 103
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City | WINTER PARK
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State | FL
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Zip | 32792-8611
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Country | US
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Telephone | 407-673-9533
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Fax | 407-673-1442
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Provider Business Mailing Address
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Address Line | 3727 N GOLDENROD RD SUITE 103
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City | WINTER PARK
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State | FL
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Zip | 32792-8611
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Country | US
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Telephone | 407-673-9533
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Fax | 407-673-1442
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | ENRIQUE GERARDO UMPIERRE-SCHUCK
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Credential | M.D.,P.A.
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Telephone | 407-673-9533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | ME81176
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License Number State | FL
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