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General NPI Number Information
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NPI Number | 1972644631
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Entity Type | Organization
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Legal Business Name | ALAFAYA WOODS FAMILY MEDICAL CENTER P A
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 110 ALAFAYA WOODS BLVD
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City | OVIEDO
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State | FL
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Zip | 32765-6241
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Country | US
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Telephone | 407-366-3577
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Fax | 407-366-2646
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Provider Business Mailing Address
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Address Line | 110 ALAFAYA WOODS BLVD
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City | OVIEDO
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State | FL
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Zip | 32765-6241
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Country | US
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Telephone | 407-366-3577
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Fax | 407-366-2646
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Authorized Official
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Title or Position | FAMILY PHYSICIAN
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Name | DR. JEFFRY F ROCKER
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Credential | DO
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Telephone | 407-366-3577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number | 0S0005703
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License Number State | FL
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