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General NPI Number Information
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NPI Number | 1598448821
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Entity Type | Individual
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Provider Name | VICTORIA AMBROSIO-SLADE MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 300 S PARK RD STE 400
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8353
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Country | US
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Telephone | 954-265-7450
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Fax | 954-265-7459
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Provider Business Mailing Address
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Address Line | 600 S PARK ROAD SUITE 400
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-265-7450
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Fax | 954-265-7459
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11027568
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License Number State | FL
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