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General NPI Number Information
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NPI Number | 1104761121
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Entity Type | Organization
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Legal Business Name | HIBISCUS HEALTH CONCEPTS LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 1037 S STATE ROAD 7 STE 115
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City | WELLINGTON
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State | FL
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Zip | 33414-6139
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Country | US
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Telephone | 561-601-1123
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Fax |
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Provider Business Mailing Address
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Address Line | 110 VASSAR DR
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-6357
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Country | US
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Telephone | 561-601-1123
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | ELIZABETH LOFASO
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Credential | ARNP
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Telephone | 561-601-1123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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