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General NPI Number Information
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NPI Number | 1043179898
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Entity Type | Organization
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Legal Business Name | NURTRIX TOTAL HEALTH PLLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 12794 FOREST HILL BLVD STE 9-1010A
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City | WELLINGTON
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State | FL
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Zip | 33414-4710
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Country | US
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Telephone | 786-771-9055
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Fax |
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Provider Business Mailing Address
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Address Line | 12794 FOREST HILL BLVD STE 9-1010A
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City | WELLINGTON
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State | FL
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Zip | 33414-4710
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Country | US
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Telephone | 786-771-9055
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Fax |
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Authorized Official
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Title or Position | AUTTHORIZED OFFICIAL
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Name | FEDNA LINDOR
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Credential | AGACNP-BC
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Telephone | 954-793-8957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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