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General NPI Number Information
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NPI Number | 1306708698
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Entity Type | Organization
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Legal Business Name | MD FAMILY & WELLNESS, CORP
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 5963 NW BAYNARD DR
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-3604
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Country | US
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Telephone | 407-686-2940
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Fax | 772-404-7918
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Provider Business Mailing Address
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Address Line | 5963 NW BAYNARD DR
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-3604
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Country | US
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Telephone | 407-686-2940
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Fax | 772-404-7918
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Authorized Official
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Title or Position | CEO
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Name | MARLEVY DOMINGUEZ
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Credential | APRN
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Telephone | 407-686-2940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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