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General NPI Number Information
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NPI Number | 1356961411
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Entity Type | Individual
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Provider Name | ILEANA PADILLA MD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2020
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 7035 BAYFRONT SCENIC DR UNIT 5414
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City | ORLANDO
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State | FL
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Zip | 32819-2226
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Country | US
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Telephone | 407-272-0378
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Fax |
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Provider Business Mailing Address
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Address Line | 7035 BAYFRONT SCENIC DR UNIT 5414
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City | ORLANDO
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State | FL
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Zip | 32819-2226
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Country | US
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Telephone |
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | NJDCATEMP-007648
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License Number State | NJ
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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 | 11034879
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License Number State | FL
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