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NPI 1386029452

NPI 1386029452 : HERMIDE PLACIDE : ATLANTIS, FL

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General NPI Number Information
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    NPI Number           |    1386029452
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    Entity Type          |    Individual 
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    Provider Name        |    HERMIDE PLACIDE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2015
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    5401 S CONGRESS AVE STE 102 
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    City                 |    ATLANTIS
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    State                |    FL
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    Zip                  |    33462-6636
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    Country              |    US
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    Telephone            |    561-967-5033
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    Fax                  |    561-967-5424
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Provider Business Mailing Address
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    Address Line         |    7593 W BOYNTON BEACH BLVD STE 220 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33437-6162
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    Country              |    US
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    Telephone            |    561-649-7000
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    3085032
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    3085032
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    3085032
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN3085032
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    License Number State |    FL
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