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NPI 1285454033

NPI 1285454033 : MICHELLE RIOPEDRE LLC : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1285454033
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHELLE RIOPEDRE LLC 
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Dates
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    Enumeration Date     |    10/16/2024
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    Last Update Date     |    10/22/2024
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Provider Practice Location Address
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    Address Line         |    10967 LAKE UNDERHILL RD STE 107 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32825-4434
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    Country              |    US
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    Telephone            |    407-738-5060
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    Fax                  |    407-264-8367
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Provider Business Mailing Address
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    Address Line         |    4864 STONE ACRES CIR 
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    City                 |    SAINT CLOUD
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    State                |    FL
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    Zip                  |    34771-8864
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    Country              |    US
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    Telephone            |    407-738-5060
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    Fax                  |    407-264-8367
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Authorized Official
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    Title or Position    |    OWNER/ PROVIDER
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    Name                 |     MICHELLE  RIOPEDRE 
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    Credential           |    DNP
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    Telephone            |    407-738-5060
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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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