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General NPI Number Information
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NPI Number | 1386452530
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Entity Type | Organization
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Legal Business Name | FLORIDA MOBILE HEALTH, PLLC
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 215 TOPANGA DR
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-8545
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Country | US
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Telephone | 239-877-3727
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Fax |
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Provider Business Mailing Address
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Address Line | 7879 GOLDBERGER LN
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City | THE VILLAGES
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State | FL
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Zip | 34762-6794
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Country | US
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Telephone | 239-877-3727
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE LI CAUSI
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Credential | APRN
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Telephone | 239-877-3727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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