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General NPI Number Information
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NPI Number | 1093676314
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Entity Type | Organization
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Legal Business Name | MEDICSPOT HEALTHCARE LLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 346 KYLAR DR NW
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City | PALM BAY
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State | FL
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Zip | 32907-6825
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Country | US
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Telephone | 321-462-9868
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Fax |
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Provider Business Mailing Address
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Address Line | 2909 W NEW HAVEN AVE STE A SUITE A #407
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-3661
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Country | US
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Telephone | 321-462-9868
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Fax |
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Authorized Official
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Title or Position | NP/ PROVIDER
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Name | TALPHINETA KELLY
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Credential | FNP-BC
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Telephone | 321-462-9868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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