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General NPI Number Information
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NPI Number | 1962048173
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Entity Type | Organization
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Legal Business Name | METRO TREATMENT OF FLORIDA, LP
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 5794 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32822-4819
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Country | US
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Telephone | 407-351-7080
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 MAITLAND CENTER PKWY STE 250
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City | MAITLAND
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State | FL
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Zip | 32751-4174
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Country | US
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Telephone | 407-351-7080
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MARIA JACKSON
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Credential |
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Telephone | 407-351-7080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZF0201X
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Taxonomy Name | Forensic Pathology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207ZC0008X
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Taxonomy Name | Clinical Informatics (Pathology) Physician
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License Number |
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License Number State |
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