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General NPI Number Information
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NPI Number | 1821480351
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Entity Type | Organization
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Legal Business Name | PIECAR COMMUNITY HEALTHCARE LLC
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 724 CHARLES ST
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City | ORLANDO
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State | FL
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Zip | 32808-7509
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Country | US
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Telephone | 407-704-8724
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Fax | 407-730-3446
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Provider Business Mailing Address
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Address Line | PO BOX 682027
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City | ORLANDO
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State | FL
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Zip | 32868-2027
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Country | US
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Telephone | 407-704-8724
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Fax | 407-730-3446
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. JEAN F RODNEY
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Credential | MD
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Telephone | 407-704-8724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ACN 278
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License Number State | FL
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