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General NPI Number Information
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NPI Number | 1023667680
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Entity Type | Individual
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Provider Name | JOHANA ELIZABETH MARTI PINEDA APRN
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Gender | Female
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 2501 N ORANGE AVE STE 235
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City | ORLANDO
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State | FL
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Zip | 32804-4659
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Country | US
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Telephone | 407-303-2906
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Fax | 407-303-2553
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Provider Business Mailing Address
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Address Line | 3374 NW 5TH ST
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City | POMPANO BEACH
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State | FL
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Zip | 33069-2283
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Country | US
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Telephone | 754-207-7608
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11004022
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11004022
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License Number State | FL
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