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NPI 1104662519

NPI 1104662519 : JORDAN LEIGH GALILI APRN : CELEBRATION, FL

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General NPI Number Information
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    NPI Number           |    1104662519
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    Entity Type          |    Individual 
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    Provider Name        |    JORDAN LEIGH GALILI APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/04/2024
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    Last Update Date     |    10/14/2025
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Provider Practice Location Address
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    Address Line         |    410 CELEBRATION PL STE 200 
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    City                 |    CELEBRATION
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    State                |    FL
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    Zip                  |    34747-5432
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    Country              |    US
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    Telephone            |    407-303-4220
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    Fax                  |    407-303-4676
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Provider Business Mailing Address
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    Address Line         |    10134 BRANDON CIR 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32836-3717
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    Country              |    US
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    Telephone            |    407-620-1000
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    9522404
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN11034042
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    License Number State |    FL
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