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General NPI Number Information
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NPI Number | 1588585301
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Entity Type | Organization
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Legal Business Name | MEDEFFECTIVE, INC
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 3084 S JOG RD
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City | GREENACRES
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State | FL
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Zip | 33467-2053
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Country | US
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Telephone | 562-635-5533
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Fax |
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Provider Business Mailing Address
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Address Line | 1169 PENINSULA WAY
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City | GREENACRES
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State | FL
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Zip | 33413-3009
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Country | US
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Telephone | 561-635-5533
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CARLOS ALBERTO COLOMA
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Credential | APRN
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Telephone | 561-635-5533
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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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