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General NPI Number Information
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NPI Number | 1558009365
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Entity Type | Organization
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Legal Business Name | NOVA FAMILY CARE LLC
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 365 WEKIVA SPRINGS RD STE 231
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City | LONGWOOD
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State | FL
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Zip | 32779-3690
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Country | US
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Telephone | 321-413-1411
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Fax | 321-379-6923
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Provider Business Mailing Address
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Address Line | 365 WEKIVA SPRINGS RD STE 231
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City | LONGWOOD
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State | FL
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Zip | 32779-3690
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Country | US
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Telephone | 321-413-1411
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Fax | 321-379-6923
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Authorized Official
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Title or Position | PROVIDER
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Name | ANGELA JAIMES
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Credential | APRN
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Telephone | 469-915-4211
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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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