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General NPI Number Information
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NPI Number | 1821019571
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Entity Type | Organization
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Legal Business Name | FLORIDA HOSPITAL WATERMAN INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1000 WATERMAN WAY
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City | TAVARES
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State | FL
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Zip | 32778-5266
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Country | US
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Telephone | 352-253-3333
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Fax | 352-253-3153
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Provider Business Mailing Address
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Address Line | 770 W GRANADA BLVD STE 203
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5179
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Country | US
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Telephone | 863-231-4600
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Fax | 386-676-2560
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. ANDRII KORCHUK
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Credential |
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Telephone | 303-524-5645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4409
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License Number State | FL
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