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General NPI Number Information
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NPI Number | 1487027637
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Entity Type | Individual
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Provider Name | DONOFFA ELISABETH NELSON DO
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Gender | Female
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 01/12/2025
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Provider Practice Location Address
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Address Line | 9401 SW HIGHWAY 200 BLDG 90
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City | OCALA
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State | FL
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Zip | 34481-9612
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Country | US
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Telephone | 352-671-2320
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Fax | 352-820-5690
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Provider Business Mailing Address
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Address Line | 11916 SW 12TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-3700
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Country | US
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Telephone | 788-644-7998
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | OS13504
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS13504
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License Number State | FL
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