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General NPI Number Information
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NPI Number | 1487463279
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Entity Type | Organization
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Legal Business Name | EQUILIBRI HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 10841 PARK DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-5148
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Country | US
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Telephone | 813-725-1775
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Fax | 833-438-5175
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Provider Business Mailing Address
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Address Line | 10841 PARK DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-5148
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Country | US
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Telephone | 813-725-1775
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Fax | 813-725-2680
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Authorized Official
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Title or Position | NP/OWNER
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Name | BRANDI JUNE RHODY
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Credential | APRN
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Telephone | 910-330-0292
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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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