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General NPI Number Information
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NPI Number | 1962603027
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Entity Type | Organization
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Legal Business Name | AMERICAN CARE OF CENTRAL FLORIDA, INC.
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 1404 S 28TH ST
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City | FORT PIERCE
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State | FL
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Zip | 34947-6999
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Country | US
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Telephone | 772-293-0770
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Fax | 772-293-0775
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Provider Business Mailing Address
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Address Line | 11255 SW 211TH ST
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City | MIAMI
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State | FL
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Zip | 33189-2240
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Country | US
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Telephone | 305-278-0200
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Fax | 786-235-0145
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. JOSE E. GARCIA JR.
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Credential | MD
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Telephone | 305-278-0200
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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 |
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License Number State |
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