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General NPI Number Information
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NPI Number | 1558211227
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Entity Type | Organization
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Legal Business Name | ENRIQUEZ.T.HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 111 PRINCE PL
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City | SANFORD
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State | FL
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Zip | 32771-7770
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Country | US
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Telephone | 786-301-9836
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Fax | 786-629-5172
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Provider Business Mailing Address
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Address Line | 111 PRINCE PL
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City | SANFORD
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State | FL
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Zip | 32771-7770
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Country | US
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Telephone | 786-301-9836
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Fax | 786-629-5172
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Authorized Official
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Title or Position | APRN
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Name | TAMARAH ENRIQUEZ
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Credential | APRN, FNP, BC
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Telephone | 786-301-9836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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