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General NPI Number Information
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NPI Number | 1942323555
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Entity Type | Organization
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Legal Business Name | VASCULAR SPECIALISTS OF CENTRAL FLORIDA
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1120 CITRUS TOWER BLVD SUITE 120
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City | CLERMONT
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State | FL
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Zip | 34711-1909
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Country | US
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Telephone | 352-241-7585
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Fax | 352-241-7595
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Provider Business Mailing Address
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Address Line | 1120 CITRUS TOWER BLVD SUITE 120
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City | CLERMONT
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State | FL
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Zip | 34711-1909
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Country | US
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Telephone | 352-241-7585
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Fax | 352-241-7595
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL J COHEN
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Credential | MD
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Telephone | 352-241-7585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME48437
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License Number State | FL
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