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General NPI Number Information
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NPI Number | 1841651528
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICAL ASSOCIATES OF CENTRAL FLORIDA
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 1819 W OAK ST
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City | KISSIMMEE
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State | FL
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Zip | 34741-4077
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Country | US
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Telephone | 407-870-8220
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Fax | 407-870-8990
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Provider Business Mailing Address
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Address Line | 10474 LAVANDE DR
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City | ORLANDO
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State | FL
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Zip | 32836-8871
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Country | US
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Telephone | 407-488-7287
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FARAZ ASRAR
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Credential | MD
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Telephone | 407-488-7287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME116211
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License Number State | FL
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