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NPI 1144815408

NPI 1144815408 : JOSEPHINE SALUBRE DELOS REYES MD : SEBRING, FL

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General NPI Number Information
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    NPI Number           |    1144815408
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPHINE SALUBRE DELOS REYES MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/08/2021
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    Last Update Date     |    08/06/2025
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Provider Practice Location Address
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    Address Line         |    4638 SUN N LAKE BLVD 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33872-2176
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    Country              |    US
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    Telephone            |    863-386-0055
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    Fax                  |    863-386-0118
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Provider Business Mailing Address
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    Address Line         |    4625 SUN N LAKE BLVD STE 105 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33872-2176
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    Country              |    US
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    Telephone            |    863-314-4466
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    Fax                  |    863-386-0118
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME171694
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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       |    APRN11009656
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    License Number State |    FL
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