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General NPI Number Information
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NPI Number | 1912706102
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Entity Type | Organization
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Legal Business Name | VITALIA MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1287 N SEMORAN BLVD STE 300
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City | ORLANDO
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State | FL
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Zip | 32807-3530
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Country | US
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Telephone | 407-567-7244
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Fax |
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Provider Business Mailing Address
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Address Line | 1287 N SEMORAN BLVD STE 300
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City | ORLANDO
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State | FL
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Zip | 32807-3530
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Country | US
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Telephone | 407-567-7244
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. SURELYS SALCERIO
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Credential |
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Telephone | 786-514-0848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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