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General NPI Number Information
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NPI Number | 1972625150
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Entity Type | Organization
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Legal Business Name | FLORIDA HEALTH CARE OF ORLANDO PA
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 6735 CONROY RD SUITE 223
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City | ORLANDO
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State | FL
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Zip | 32835-3565
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Country | US
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Telephone | 321-229-5564
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Fax | 407-901-3623
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Provider Business Mailing Address
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Address Line | PO BOX 2157
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City | WINDERMERE
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State | FL
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Zip | 34786-2157
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Country | US
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Telephone | 321-229-5564
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Fax | 407-901-3623
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAJEEV SOOD
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Credential | MD
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Telephone | 321-229-5564
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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 | 74999
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License Number State | FL
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