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General NPI Number Information
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NPI Number | 1366346843
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Entity Type | Organization
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Legal Business Name | PREMIER FAMILY CARE CLINIC FLORIDA
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 2515 W HIGHWAY 4
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City | CENTURY
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State | FL
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Zip | 32535-3503
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Country | US
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Telephone | 251-626-6575
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Fax | 251-626-6758
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Provider Business Mailing Address
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Address Line | 55621 LOTTIE RD
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City | PERDIDO
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State | AL
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Zip | 36562-3025
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Country | US
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Telephone | 251-626-6757
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Fax | 251-626-6758
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Authorized Official
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Title or Position | OWNER
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Name | KELLY CAY LAMBETH
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Credential | CRNP
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Telephone | 251-626-6757
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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 | NULL
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