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General NPI Number Information
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NPI Number | 1053169557
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Entity Type | Individual
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Provider Name | MARJOLYS CASTRO MARTI
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Gender | Female
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Dates
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Enumeration Date | 05/09/2024
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 1834 N ALAFAYA TRL UNIT 3
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City | ORLANDO
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State | FL
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Zip | 32826-4716
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Country | US
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Telephone | 407-627-0062
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Fax | 833-450-5403
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 407-627-0062
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Fax | 689-304-0303
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11032722
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License Number State | FL
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