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General NPI Number Information
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NPI Number | 1508095175
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Entity Type | Individual
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Provider Name | MEXTLI LERMONT-ORTIZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/04/2009
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 6646 GUNN HWY
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City | TAMPA
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State | FL
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Zip | 33625-4055
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Country | US
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Telephone | 813-788-1400
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Fax | 813-788-7691
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Provider Business Mailing Address
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Address Line | 2477 BRUCE B DOWNS BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9213
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Country | US
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Telephone | 813-788-1400
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Fax | 813-788-7691
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9105035
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License Number State | FL
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