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General NPI Number Information
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NPI Number | 1245049907
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Entity Type | Organization
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Legal Business Name | MOBILE NP OF THE PALM BEACHES LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 12/28/2025
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Provider Practice Location Address
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Address Line | 2054 VISTA PKWY STE 400
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6742
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Country | US
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Telephone | 561-818-6357
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Fax | 561-209-5157
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Provider Business Mailing Address
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Address Line | 2054 VISTA PKWY STE 400
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6742
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Country | US
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Telephone | 727-213-3459
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Fax | 561-209-5157
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Authorized Official
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Title or Position | CEO
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Name | VERONICA LONDONO ARIAS
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Credential | APRN
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Telephone | 727-213-3457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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