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General NPI Number Information
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NPI Number | 1891708152
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Entity Type | Organization
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Legal Business Name | FLORIDA NEUROLOGY CENTER OF ORLANDO
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | 7824 LAKE UNDERHILL RD SUITE H
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City | ORLANDO
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State | FL
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Zip | 32822-8201
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Country | US
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Telephone | 407-382-6292
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Fax | 407-382-6280
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Provider Business Mailing Address
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Address Line | 7824 LAKE UNDERHILL RD SUITE H
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City | ORLANDO
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State | FL
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Zip | 32822-8201
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Country | US
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Telephone | 407-382-6292
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Fax | 407-382-6280
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. HENRY J. COMITER
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Credential | MD
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Telephone | 407-382-6292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0019625
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License Number State | FL
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