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General NPI Number Information
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NPI Number | 1992899017
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA PULMONARY CONSULTANTS
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 759 HARLEY STRICKLAND BLVD
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City | ORANGE CITY
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State | FL
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Zip | 32763-7954
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Country | US
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Telephone | 386-456-0300
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Fax | 386-456-0303
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Provider Business Mailing Address
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Address Line | PO BOX 850001
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City | ORLANDO
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State | FL
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Zip | 32885-0170
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Country | US
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Telephone | 386-456-0300
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Fax | 386-456-0303
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Authorized Official
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Title or Position | INSURANCE
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Name | CHRISTINE CARDONA
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Credential |
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Telephone | 386-456-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME79674
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License Number State | FL
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