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General NPI Number Information
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NPI Number | 1487332003
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Entity Type | Organization
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Legal Business Name | PONDUS MEDICAL FL LLC
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 1200 S PINE ISLAND RD
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City | PLANTATION
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State | FL
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Zip | 33324-4413
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Country | US
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Telephone | 305-588-6673
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Fax |
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Provider Business Mailing Address
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Address Line | 2 N 6TH PL APT 4J
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City | BROOKLYN
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State | NY
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Zip | 11249-3389
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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 | APRN/OWNER
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Name | MARIA FERNANDA OSPINA
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Credential | APRN
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Telephone | 305-298-3840
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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 |
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