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General NPI Number Information
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NPI Number | 1841298361
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Entity Type | Organization
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Legal Business Name | TRANSFLORIDA MOBILE DIAGNOSTIC SERVICES LC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 805 S ORLANDO AVE SUITE F
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City | WINTER PARK
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State | FL
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Zip | 32789-4869
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Country | US
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Telephone | 888-929-2224
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Fax | 877-972-9327
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Provider Business Mailing Address
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Address Line | 805 S ORLANDO AVE SUITE F
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City | WINTER PARK
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State | FL
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Zip | 32789-4869
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Country | US
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Telephone | 888-929-2224
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Fax | 877-972-9327
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONALD PYLES
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Credential | R. T. (R.)
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Telephone | 888-929-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | HCC3857
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | HCC3857
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License Number State | FL
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