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General NPI Number Information
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NPI Number | 1518815869
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Entity Type | Organization
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Legal Business Name | CONNECTIVE MEDICAL OF FL P.A.
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 199 NH 101 UNIT 4
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City | AMHERST
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State | NH
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Zip | 03031-8082
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Country | US
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Telephone | 603-864-0092
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Fax |
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Provider Business Mailing Address
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Address Line | 199 NH 101 UNIT 4
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City | AMHERST
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State | NH
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Zip | 03031-8082
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Country | US
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Telephone | 603-864-0092
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAUREN PRINCE-COLE
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Credential |
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Telephone | 603-714-0449
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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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