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General NPI Number Information
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NPI Number | 1912882630
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Entity Type | Organization
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Legal Business Name | WINTER HAVEN HOSPITAL INC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 101 AVENUE O SE FL 1
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City | WINTER HAVEN
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State | FL
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Zip | 33880-4333
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Country | US
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Telephone | 863-294-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 2995 DREW ST FL 2
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-281-9065
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Fax | 813-635-2613
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | LYNDA GORKEN
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Credential |
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Telephone | 727-281-9202
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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 |
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License Number State |
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