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General NPI Number Information
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NPI Number | 1114812880
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Entity Type | Organization
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Legal Business Name | M&M'S MEDICAL CONSULTING LLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 6013 PAPAYA DR
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City | FORT PIERCE
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State | FL
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Zip | 34982-3771
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Country | US
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Telephone | 772-626-4229
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Fax |
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Provider Business Mailing Address
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Address Line | 6013 PAPAYA DR
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City | FORT PIERCE
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State | FL
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Zip | 34982-3771
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Country | US
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Telephone | 772-626-4229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MELISSA MARTZ
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Credential | APRN
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Telephone | 772-626-4229
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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 |
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License Number State |
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